FELLOWSHIP HEALTH RESOURCES, INC (NPI# 1154762524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154762524 |
Entity Type | Organization |
Organization Name | FELLOWSHIP HEALTH RESOURCES, INC |
Other Organization Name | FELLOWSHIP HEALTH RESOURCES FORENSIC SERVICES |
Practice Address |
3010 Falstaff Rd Raleigh NC 27610-1813 |
Mailing Address |
25 Blackstone Valley Pl Ste 300 Lincoln RI 02865-1184 |
Practice Telephone | 4013333980 |
Practice Fax Number | 4013333984 |
Mailing Telephone | 4013333980 |
Mailing Fax Number | 4013333984 |
Enumeration Date | 2013-07-12 |
Last Update Date | 2013-08-01 |
Authorized Official Name | DEBRA PAUL (PRESIDENT CFO) |
Authorized Official Telephone | 4013333980 |
Is Organization Subpart | Y |
Parent Organization Name | FELLOWSHIP HEALTH RESOURCES, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
N | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities | ||
Y | 251S00000X | Community/Behavioral Health | Agencies |
Other Name | Type Code |
---|---|
Fellowship Health Resources Forensic Services | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619348083 | Fellowship Health Resources, Inc | Community/Behavioral Health | 412 W Russell St, Fayetteville, NC 28301-5896 | 2015-10-12 |
1619980018 | Fellowship Health Resources, Inc | Community Based Residential Treatment Facility, Mental Illness | 23769 Shortly Rd, Georgetown, DE 19947-4754 | 2006-08-15 |
1245239680 | Fellowship Health Resources, Inc | Clinic/Center | 24 Albion Rd, Suite 420, Lincoln, RI 02865-3311 | 2005-07-19 |
1962950881 | Fellowship Health Resources, Inc | Community/Behavioral Health | 1340 Middleford Rd, Suite 401, Seaford, DE 19973-3665 | 2016-09-20 |
1710334255 | Fellowship Health Resources, Inc | Community/Behavioral Health | 101 Rogers Rd, Wilmington, DE 19801-5778 | 2016-05-14 |
1679914048 | Fellowship Health Resources, Inc | Clinic/Center | 222 E Chatham St, Cary, NC 27511-3458 | 2013-07-12 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | FELLOWSHIP HEALTH RESOURCES, INC. | 24 Albion Rd Ste 420, Lincoln, RI 02865-3744 |
Massachusetts Corporations | FELLOWSHIP HEALTH RESOURCES, INC. | 25 Blackstone Valley Pl., Lincoln, RI 02865 |
Street Address |
3010 FALSTAFF RD |
City | RALEIGH |
State | NC |
Zip Code | 27610-1813 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609854124 | Mauverine Jo Hall | Family Medicine | 3010 Falstaff Rd, Raleigh, NC 27610-1813 | 2006-01-04 |
1396374203 | Elizabeth Ellen Cross | Social Worker | 3010 Falstaff Rd, Raleigh, NC 27610-1813 | 2020-04-02 |
1447886106 | Rebecca Williams | Counselor | 3010 Falstaff Rd, Raleigh, NC 27610-1813 | 2020-03-13 |
1871069831 | Natalie Francesca Flora | Counselor | 3010 Falstaff Rd, Raleigh, NC 27610-1813 | 2018-10-17 |
1427575869 | Healthworks Med Group of North Carolina P C | Clinic/Center | 3010 Falstaff Rd, Raleigh, NC 27610-1813 | 2017-08-25 |
1174077762 | Mh Medical Services, PC | Nurse Practitioner | 3010 Falstaff Rd, Raleigh, NC 27610-1813 | 2016-08-11 |
1316307077 | Rha Behavioral Health Nc LLC | Community/Behavioral Health | 3010 Falstaff Rd, Raleigh, NC 27610-1813 | 2016-02-24 |
1699142901 | Tamara Wertz Wilson | Social Worker | 3010 Falstaff Rd, Raleigh, NC 27610-1813 | 2015-08-24 |
1811376726 | Sara Elizabeth Wilder | Counselor | 3010 Falstaff Rd, Raleigh, NC 27610-1813 | 2015-05-26 |
1942640933 | Lauren Marie Crowley | Social Worker | 3010 Falstaff Rd, Raleigh, NC 27610-1813 | 2013-07-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
Find all providers in zip 27610 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528688678 | Life Extensions LLC | Community/Behavioral Health | 4304 Coburn Pl Apt 106, Raleigh, NC 27616-7971 | 2020-04-19 |
1639716368 | Monarch | Community/Behavioral Health | 1705 Beacon Bluff St, Raleigh, NC 27604-5446 | 2019-12-02 |
1700429396 | Transcending Limits Counseling Services Pllc | Community/Behavioral Health | 3445 Teravista Way, Raleigh, NC 27616-9310 | 2019-10-25 |
1497397137 | Ever-lasting Counseling Service LLC | Community/Behavioral Health | 7730 Sunfield Cir Apt 303, Raleigh, NC 27617-6762 | 2019-10-15 |
1285108373 | Metro Treatment of North Carolina L P | Community/Behavioral Health | 3911 New Bern Ave, Raleigh, NC 27610-1332 | 2019-01-11 |
1932670999 | Elevation Community Services, LLC | Community/Behavioral Health | 3712 Benson Dr Ste 201-202, Raleigh, NC 27609-7328 | 2018-12-16 |
1891297222 | Saving Hope, LLC | Community/Behavioral Health | 2501 Lilymount Dr, Raleigh, NC 27610-3476 | 2018-03-01 |
1508370776 | Resiliency In Recovery | Community/Behavioral Health | 3986 Cane Garden Dr, Raleigh, NC 27610-5696 | 2017-11-27 |
1467975318 | Aci Support Specialists, LLC | Community/Behavioral Health | 6832 Planting Ct, Raleigh, NC 27610-8705 | 2017-07-24 |
1134649601 | Aci Support Specialists, LLC | Community/Behavioral Health | 12367 Honeychurch St, Raleigh, NC 27614-7879 | 2017-06-26 |
Find all providers in RALEIGH |
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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.