FELLOWSHIP HEALTH RESOURCES, INC


Address: 3010 Falstaff Rd, Raleigh, NC 27610-1813
Phone: 4013333980

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Fellowship Health Resources Forensic Services Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 3010 FALSTAFF RD
City RALEIGH
State NC
Zip Code 27610-1813

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City RALEIGH
Zip Code 27610

Improve Information

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Dataset Information

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.

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