Covered Entity Details

CH05092K NEIGHBORHOOD HEALTH CARE INCORPORATED (Active) - information as of 5/30/2025 6:43:09 PM

Main Details

Name

NEIGHBORHOOD HEALTH CARE INCORPORATED

Subdivision Name

Ann B Reichsman Community Health Center

Type

HRSA-Funded Health Center

Site ID

BPS-H80-027995

340B ID

CH05092K

Grant Number

H80CS00665

Additional Details

Current Program Status

Active

Registration Date

8/19/2019

Participating Start Date

10/1/2019

Participating Approval Date

8/29/2019

Last Recertification Date

2/18/2025

Contacts

Authorizing Official

Neighborhood Health Care Incorporated
Domonic Montrell Hopson, Chief Executive Officer
(216) 302-5252

Primary Contact

Neighborhood Health Care Incorporated
Kathryn Posendek, Pharmacy Director
(216) 281-0872 Ext: 1178

Addresses

Street Address

3545 Ridge Rd Ste 2
Cleveland, OH 44102-5465

Billing Address

Neighborhood Health Care, Inc.
4115 Bridge Ave
Suite 300
Cleveland, OH 44113

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
OH	0372982,0385817,0323853,0403123	1326690934,1568014173,1205327095,1619506110

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH050920	Active	BPS-H80-000167	NEIGHBORHOOD HEALTH CARE INCORPORATED	Ridge Community Health Center	3569 Ridge Rd	Cleveland	OH
CH05092B	Active	BPS-H80-000468	NEIGHBORHOOD HEALTH CARE INCORPORATED	Tremont Community Health Center	2358 Professor Ave	Cleveland	OH
CH05092C	Active	BPS-H80-011441	NEIGHBORHOOD HEALTH CARE INCORPORATED	Detroit Shoreway Community Health Center	6412 Franklin Blvd.	Cleveland	OH
CH05092D	Active	BPS-H80-017080	NEIGHBORHOOD HEALTH CARE INCORPORATED	Puritas Community Health Center	14625 Puritas Avenue	Cleveland	OH
CH05092E	Terminated	BPS-H80-013675	NEIGHBORHOOD HEALTH CARE INC	Centers West Office Health Center	3929 ROCKY RIVER DR	CLEVELAND	OH
CH05092F	Terminated	BPS-H80-015072	NEIGHBORHOOD HEALTH CARE, INC.	Centers Gordon Square Health Center	5209 DETROIT AVE	CLEVELAND	OH
CH05092G	Active	BPS-H80-038133	NEIGHBORHOOD HEALTH CARE INCORPORATED	NFP W. 130th Community Health Center	13027 Lorain Avenue	CLEVELAND	OH
CH05092H	Terminated	BPS-H80-014282	NEIGHBORHOOD HEALTH CARE, INC.	Neighborhood Family Practice Mobile Van 1	3569 Ridge Rd	Cleveland	OH
CH05092J	Active	BPS-H80-033533	NEIGHBORHOOD HEALTH CARE INCORPORATED	North Coast Community Health Center	11906 Madison Avenue	Lakewood	OH
CH05092K	Active	BPS-H80-027995	NEIGHBORHOOD HEALTH CARE INCORPORATED	Ann B Reichsman Community Health Center	3545 Ridge Rd Ste 2	Cleveland	OH
CH05092L	Terminated	BPS-H80-033027	NEIGHBORHOOD HEALTH CARE INCORPORATED	Neighborhood Family Practice - Barton Senior Center	14306 Detroit Ave Rm A	Lakewood	OH

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH050920	CURANT HEALTH FLORIDA, LLC	11001 ROOSEVELT BLVD N STE 1400		ST PETERSBURG	FL	33716	07/01/2014	10/01/2021
CH050920	CURANT HEALTH GEORGIA LLC	CURANT HEALTH	200 TECHNOLOGY CT SE BLDG 200 SUITE B	SMYRNA	GA	30082-5250	07/01/2014	02/09/2021
CH050920	DAVE'S SUPERMARKETS	3565 RIDGE ROAD		CLEVELAND	OH	44102	05/02/2005	01/31/2019
CH05092B	DAVE'S SUPERMARKETS	3565 RIDGE ROAD		CLEVELAND	OH	44102	04/27/2006	01/31/2019
CH050920	GIANT EAGLE PHARMACY #0221	20160 CENTER RIDGE ROAD, SUITE 201		ROCKY RIVER	OH	44116	04/01/2020	09/29/2024
CH050920	GIANT EAGLE PHARMACY #0230	3050 W. 117TH STREET		CLEVELAND	OH	44111	01/01/2018	06/01/2018
CH050920	GIANT EAGLE PHARMACY #0230	3050 W. 117TH STREET		CLEVELAND	OH	44111	04/01/2020
CH050920	GIANT EAGLE PHARMACY #6376	6300 BIDDULPH ROAD		BROOKLYN	OH	44144	01/01/2018	06/01/2018
CH050920	GIANT EAGLE PHARMACY #6376	6300 BIDDULPH ROAD		BROOKLYN	OH	44144	04/01/2020
CH050920	GIANT EAGLE PHARMACY #8991	2500 LOVI RD		FREEDOM	PA	15042	04/01/2020
CH050920	GIANT EAGLE SPECIALTY PHARMACY	2500 LOVI RD	ROOM #101	FREEDOM	PA	15042	01/01/2025
CH050920	MARC GLASSMAN		DBA MARC'S 15030 PURITAS RD	CLEVELAND	OH	44135	07/01/2014	10/08/2015
CH050920	MARC GLASSMAN	DBA: MARC'S	14861 DETROIT AVE	LAKEWOOD	OH	44107	07/01/2014	07/01/2022
CH050920	MARC'S PHARMACY	7359 NORTHCLIFF AVENUE		BROOKLYN	OH	44144	07/01/2014	07/01/2022
CH050920	MARC'S VARIETY STORE INC	DBA MARC'S PHARMACY	17400 LORAIN AVE	CLEVELAND	OH	44111	01/01/2016	07/01/2022
CH050920	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 04320	14025 PURITAS AVE	CLEVELAND	OH	44135	01/01/2018
CH050920	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 03329	11706 CLIFTON BOULEVARD	LAKEWOOD	OH	44107	01/01/2018
CH050920	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 04338	10022 MADISON AVENUE	CLEVELAND	OH	44102	01/01/2018	08/11/2022
CH050920	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 02503	13027 LORAIN AVE.,	CLEVELAND	OH	44111	01/01/2018	12/08/2022
CH050920	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 03333	3171 WEST BLVD.	CLEVELAND	OH	44111	01/01/2018
CH050920	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 04282	3728 PEARL RD	CLEVELAND	OH	44109	01/01/2018	07/01/2020
CH050920	OHIO CVS STORES, L.L.C.	DBA: CVS/PHARMACY # 03314	4240 PEARL RD	CLEVELAND	OH	44109	10/01/2020	05/23/2023
CH050920	OHIO CVS STORES, L.L.C.	CVS PHARMACY # 17305	3535 STEELYARD DR	CLEVELAND	OH	44109	10/01/2020	12/08/2022
CH050920	RITE AID OF OHIO, INC.	RITE AID #3157	3402 CLARK AVENUE	CLEVELAND	OH	44109	10/22/2012	12/31/2022
CH050920	RITE AID OF OHIO, INC.	RITE AID #1570	6512 FRANKLIN BOULEVARD	CLEVELAND	OH	44102	10/22/2012	12/31/2022
CH050920	RITE AID OF OHIO, INC.	RITE AID #3486	11702 LORAIN AVENUE	CLEVELAND	OH	44111	01/01/2016	07/01/2020
CH050920	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	04/01/2020	12/31/2022
CH050920	WAL-MART PHARMACY 10-2073	10000 BROOKPARK RD		BROOKLYN	OH	44130	04/01/2020	12/31/2022
CH050920	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	04/01/2020	12/31/2022
CH050920	WALGREEN CO.	DBA: WALGREENS # 12444	3415 CLARK AVENUE	CLEVELAND	OH	44109	01/09/2012
CH050920	WALGREEN CO.	DBA: WALGREENS # 03308	4265 STATE RD.	CLEVELAND	OH	44109	01/09/2012
CH050920	WALGREEN CO.	DBA: WALGREENS # 05206	11701 DETROIT AVE	LAKEWOOD	OH	44107	01/09/2012
CH050920	WALGREEN CO.	DBA: WALGREENS # 04159	6300 PEARL RD.	PARMA HEIGHTS	OH	44130	01/09/2012
CH050920	WALGREEN CO.	DBA: WALGREENS # 03314	5400 PEARL ROAD	PARMA	OH	44129	01/09/2012
CH050920	WALGREEN CO.	DBA: WALGREENS #21316	6401 BROADWAY AVE	CLEVELAND	OH	44105	01/09/2012	11/14/2024
CH050920	WALGREEN CO.	DBA: WALGREENS # 03234	4281 W. 130TH STREET	CLEVELAND	OH	44135	01/09/2012	11/07/2023
CH050920	WALGREEN CO.	DBA: WALGREENS # 03310	16803 LORAIN AVE	CLEVELAND	OH	44111	01/09/2012
CH050920	WALGREEN CO.	DBA: WALGREENS # 09372	33760 CENTER RIDGE RD	NORTH RIDGEVILLE	OH	44039-3255	01/09/2012
CH050920	WALGREEN CO.	DBA: WALGREENS # 05550	21010 CENTER RIDGE RD	ROCKY RIVER	OH	44116	04/01/2018
CH050920	WALGREEN CO.	DBA: WALGREENS #09407	14815 MADISON AVE.	LAKEWOOD	OH	44107-4009	10/01/2018
CH050920	WALGREEN CO.	WALGREENS SPECIALTY PHARMACY #16400	10001 CHESTER AVE SUITE B	CLEVELAND	OH	44106	10/01/2024
CH050920	Walgreens #21423	Walgreens Central Fill #21423	6275 Winchester Blvd	Canal WInchester	OH	43110-6537	01/01/2024
CH050920	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	10/01/2024
CH050920	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	10/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/5/2024 10:49:13 AM	2/18/2025 4:12:43 PM	2/18/2025 4:12 PM
Details	Last Recertification Date	Update	Recertification	2/3/2023 9:38:11 AM	2/5/2024 10:49:13 AM	2/5/2024 10:49 AM
Addresses	Billing Address	Update	Change Request	Neighborhood Family Practice 4115 Bridge Ave Suite 300 Cleveland, OH 44113	Neighborhood Health Care, Inc. 4115 Bridge Ave Suite 300 Cleveland, OH 44113	7/14/2023 6:40 PM
Details	Entity Name	Update	Change Request	Neighborhood Health Care, Inc.	NEIGHBORHOOD HEALTH CARE INCORPORATED	7/5/2023 8:45 AM
Contacts	Primary Contact	Update	Profile Change Request	Posendek, Kathryn Pharmacy Director Neighborhood Health Care, Inc. 2162810872-1178	Posendek, Kathryn Pharmacy Director Neighborhood Health Care Incorporated 2162810872-1178	6/21/2023 11:56 AM
Contacts	Authorizing Official	Update	Profile Change Request	Hopson, Domonic Montrell Chief Executive Officer Neighborhood Family Practice 2163025252	Hopson, Domonic Montrell Chief Executive Officer Neighborhood Health Care Incorporated 2163025252	6/20/2023 7:27 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	6/16/2023 8:20 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		0323853	6/16/2023 8:20 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		OH	6/16/2023 8:20 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	6/16/2023 8:20 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		0403123	6/16/2023 8:20 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		OH	6/16/2023 8:20 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1205327095	6/16/2023 8:20 AM
Medicaid Billing	NPI: State	Insert	Change Request		OH	6/16/2023 8:20 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1619506110	6/16/2023 8:20 AM
Medicaid Billing	NPI: State	Insert	Change Request		OH	6/16/2023 8:20 AM
Details	Last Recertification Date	Update	Recertification	2/9/2022 11:32:56 AM	2/3/2023 9:38:11 AM	2/3/2023 9:38 AM
Contacts	Authorizing Official	Update	Group Change Request	POLSTER, JEAN PRESIDENT, CEO Neighborhood Health Care, Inc. 2162810872-1261	Hopson, Domonic Montrell Chief Executive Officer Neighborhood Family Practice 2163025252	6/27/2022 11:52 AM
Addresses	Billing Address	Update	Recertification	Neighborhood Family Practice 4115 Bridge Ave, Ste 300 Cleveland, OH 44113	Neighborhood Family Practice 4115 Bridge Ave Suite 300 Cleveland, OH 44113	2/9/2022 11:32 AM
Details	Last Recertification Date	Update	Recertification	2/5/2021 1:33:59 PM	2/9/2022 11:32:56 AM	2/9/2022 11:32 AM
Contacts	Authorizing Official	Update	Profile Change Request	POLSTER, JEAN PRESIDENT, CEO Neighborhood Health Care, Inc. 2162810872-261	POLSTER, JEAN PRESIDENT, CEO Neighborhood Health Care, Inc. 2162810872-1261	2/9/2022 11:27 AM
Contacts	Signed By	Update	Profile Change Request	POLSTER, JEAN PRESIDENT, CEO Neighborhood Health Care, Inc. 2162810872-261	POLSTER, JEAN PRESIDENT, CEO Neighborhood Health Care, Inc. 2162810872-1261	2/9/2022 11:27 AM
Medicaid Billing	NPI: State	Update	Recertification		OH	2/5/2021 1:33 PM
Medicaid Billing	NPI: State	Update	Recertification		OH	2/5/2021 1:33 PM
Details	Last Recertification Date	Update	Recertification	1/28/2020 3:01:47 PM	2/5/2021 1:33:59 PM	2/5/2021 1:33 PM
Contacts	Primary Contact	Update	Change Request	Beaty, Virginia Pharmacy Director Neighborhood Family Practice 2169612005-1178	Posendek, Kathryn Pharmacy Director Neighborhood Health Care, Inc. 2162810872-1178	1/13/2021 1:21 PM
Contacts	Primary Contact	Update	Change Request	Glasgow, Kyle Christopher Pharmacy Director Neighborhood Health Care Inc. 2169612005-1178	Beaty, Virginia Pharmacy Director Neighborhood Family Practice 2169612005-1178	3/24/2020 12:27 PM
Details	Last Recertification Date	Update	Recertification		1/28/2020 3:01:47 PM	1/28/2020 3:01 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	1/15/2020 1:46 PM
Medicaid Billing	Medicaid: Number	Insert	Change Request		0372982	1/15/2020 1:46 PM
Medicaid Billing	Medicaid: State	Insert	Change Request		OH	1/15/2020 1:46 PM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	1/15/2020 1:46 PM
Medicaid Billing	Medicaid: Number	Insert	Change Request		0385817	1/15/2020 1:46 PM
Medicaid Billing	Medicaid: State	Insert	Change Request		OH	1/15/2020 1:46 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1326690934	1/15/2020 1:46 PM
Medicaid Billing	NPI: Number	Insert	Change Request		1568014173	1/15/2020 1:46 PM
Contacts	Primary Contact	Update	Change Request	CAMPITELLI, ANGELA 340B Program Manager Neighborhood Health Care, Inc. 2162810872-213	Glasgow, Kyle Christopher Pharmacy Director Neighborhood Health Care Inc. 2169612005-1178	10/3/2019 9:23 AM
Details	State	Update		Approved	Active	10/1/2019 12:04 AM
Contacts	Signed By	Insert	New Registration		POLSTER, JEAN PRESIDENT, CEO Neighborhood Health Care, Inc. 2162810872-261	8/29/2019 8:24 AM
Details	340B ID	Update	New Registration		CH05092K	8/29/2019 8:24 AM
Dates	Participating Approval Date	Update	New Registration		8/29/2019 8:24:37 AM	8/29/2019 8:24 AM
Details	State	Update	New Registration	Pending	Approved	8/29/2019 8:24 AM
Dates	Signed By Date	Update	New Registration		8/21/2019 11:47:42 AM	8/29/2019 8:24 AM
Dates	Start Date	Update	New Registration		10/1/2019 12:00:00 AM	8/29/2019 8:24 AM
Addresses	Main Address	Insert	New Registration		3545 Ridge Rd Ste 2 Cleveland, OH 44102-5465	8/19/2019 12:21 PM
Addresses	Billing Address	Insert	New Registration		Neighborhood Family Practice 4115 Bridge Ave, Ste 300 Cleveland, OH 44113	8/19/2019 12:21 PM
Contacts	Authorizing Official	Insert	New Registration		POLSTER, JEAN PRESIDENT, CEO Neighborhood Health Care, Inc. 2162810872-261	8/19/2019 12:21 PM
Contacts	Primary Contact	Insert	New Registration		CAMPITELLI, ANGELA 340B Program Manager Neighborhood Health Care, Inc. 2162810872-213	8/19/2019 12:21 PM
Details	Last Recertification Date	Insert	New Registration			8/19/2019 12:21 PM
Details	Grant Number	Insert	New Registration		H80CS00665	8/19/2019 12:21 PM
Details	340B ID	Insert	New Registration			8/19/2019 12:21 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			8/19/2019 12:21 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			8/19/2019 12:21 PM
Details	Medicare Provider Number	Insert	New Registration			8/19/2019 12:21 PM
Details	Entity Name	Insert	New Registration		Neighborhood Health Care, Inc.	8/19/2019 12:21 PM
Details	Program Code	Insert	New Registration		CH	8/19/2019 12:21 PM
Details	Entity Subname	Insert	New Registration		Ann B Reichsman Community Health Center	8/19/2019 12:21 PM
Dates	Participating Approval Date	Insert	New Registration			8/19/2019 12:21 PM
Details	State	Insert	New Registration		Pending	8/19/2019 12:21 PM
Dates	Registration Date	Insert	New Registration		8/19/2019 12:21:32 PM	8/19/2019 12:21 PM
Dates	Signed By Date	Insert	New Registration			8/19/2019 12:21 PM
Dates	Start Date	Insert	New Registration			8/19/2019 12:21 PM
Terminations	Termination Comments	Insert	New Registration			8/19/2019 12:21 PM
Terminations	Termination Date	Insert	New Registration			8/19/2019 12:21 PM
Terminations	Termination Effective Date	Insert	New Registration			8/19/2019 12:21 PM
Terminations	Termination Reason	Insert	New Registration			8/19/2019 12:21 PM

340B Drug Pricing Program Database