FELLOWSHIP SENIOR DAY CARE CENTER INC (NPI# 1013083278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013083278 |
| Entity Type | Organization |
| Organization Name | FELLOWSHIP SENIOR DAY CARE CENTER INC |
| Practice Address |
4530 Janice Dr College Park GA 30337-5204 |
| Practice Telephone | 4047666498 |
| Mailing Telephone | 4047666498 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DOMINIQUE NAAR (DIRECTOR) |
| Authorized Official Telephone | 4047666498 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | GA | Nursing & Custodial Care Facilities |
| Street Address |
4530 JANICE DR |
| City | COLLEGE PARK |
| State | GA |
| Zip Code | 30337-5204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336286350 | Fellowship Senior Day Care Center, Inc | Alzheimer Center (Dementia Center) | 4530 Janice Dr, College Park, GA 30337-5204 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194360768 | Advant Therapy Services LLC | Speech-Language Pathologist | 4827 Old National Hwy, Pmb 1619, College Park, GA 30337 | 2019-11-07 |
| 1093288318 | Kevin Ramone Larkins | Counselor | 191 John Wesley Ave, College Park, GA 30337 | 2019-01-09 |
| 1013482553 | Michael Uchenna Okenchi | Nurse Practitioner | 3715 Atlanta St, Atlanta, GA 30337 | 2018-10-11 |
| 1962993436 | Bridges of Success, Inc. | Counselor | 3707 Main St, #10, College Park, GA 30337 | 2018-05-21 |
| 1427568245 | Andrienne Ignatia Terrell | Specialist/Technologist | 600 N Terminal Hartsfield-jackson Airport, Atlanta, GA 30337 | 2017-10-06 |
| 1710408745 | Tiffany Godwin | Specialist/Technologist | 600 N Terminal Hartsfield-jackon International Airport, Atlanta, GA 30337 | 2017-06-29 |
| 1104288240 | Susan Elizabeth Northrup | Preventive Medicine | 1701 Columbia Avenue, Federal Aviation Administration, Aso-300, College Park, GA 30337 | 2016-03-28 |
| 1689061301 | Jayne' Green | Counselor | 1919 John Wesley Ave., College Park, GA 30337 | 2015-04-21 |
| 1023412897 | Progressive Health Aviation Services | Clinic/Center | 600 N Terminal, Hartsfield-jackson Atlanta International Airport, Atlanta, GA 30337 | 2014-10-22 |
| 1578805453 | Talib El | Counselor | 2615 Roosevelt Highway, Atlanta, GA 30337 | 2013-03-19 |
| Find all providers in zip 30337 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336286350 | Fellowship Senior Day Care Center, Inc | Alzheimer Center (Dementia Center) | 4530 Janice Dr, College Park, GA 30337-5204 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
| 1760879332 | Bristol Village Management LLC | Alzheimer Center (Dementia Center) | 1358 Manchester Dr Ne, Conyers, GA 30012-3881 | 2015-04-22 |
| 1497071286 | Canton Senior Living, LLC | Alzheimer Center (Dementia Center) | 125 Riverstone Ter, Canton, GA 30114-5218 | 2010-04-19 |
| 1588991236 | Antoinette Fuller | Alzheimer Center (Dementia Center) | 2024 Registry Dr, Hampton, GA 30228-6396 | 2009-11-17 |
| 1306172135 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 3607 Weems Rd, Columbus, GA 31909-3701 | 2009-10-29 |
| 1699001420 | Brea Smyrna LLC | Alzheimer Center (Dementia Center) | 4375 Beech Haven Trl Se, Smyrna, GA 30080-6601 | 2009-10-29 |
| 1326454893 | Allys Senior Services | Alzheimer Center (Dementia Center) | 190 Stone Pond Ln, Alpharetta, GA 30022-5542 | 2014-07-06 |
| 1700291671 | Supplemental Health Care | Alzheimer Center (Dementia Center) | 2631 N Druid Hills Rd Ne, Atlanta, GA 30329-3529 | 2014-06-30 |
| 1093154544 | Metro Resource Center, Inc | Alzheimer Center (Dementia Center) | 444 Edgewood Ave Se, Atlanta, GA 30312-1838 | 2013-06-18 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE PARK |
| Zip Code | 30337 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.