FELLOWSHIP HEALTH RESOURCES, INC. (NPI# 1356646103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356646103 |
| Entity Type | Organization |
| Organization Name | FELLOWSHIP HEALTH RESOURCES, INC. |
| Practice Address |
25 Blackstone Valley Pl Ste 300 Lincoln RI 02865-1163 |
| Practice Telephone | 4013333980 |
| Practice Fax Number | 4013333984 |
| Mailing Telephone | 4013333980 |
| Mailing Fax Number | 4013333984 |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |
| Authorized Official Name | JOE DZIOBEK (CEO) |
| Authorized Official Telephone | 4013333980 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | PA | Agencies | |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
134980 | PA | Ambulatory Health Care Facilities |
| Y | 261Q00000X | Clinic/Center | 134980 | PA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427671429 | Fellowship Health Resources, Inc. | Psychiatric Residential Treatment Facility | 606 Atlantic Ave, Milton, DE 19968-1211 | 2020-05-26 |
| 1558811158 | Fellowship Health Resources, Inc. | Community/Behavioral Health | 103 Rogers Rd Ste A, Wilmington, DE 19801-5767 | 2016-10-06 |
| 1346253747 | Fellowship Health Resources, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7549 Wilkins Rd, Milford, DE 19963-4106 | 2006-08-15 |
| 1881607299 | Fellowship Health Resources, Inc. | Community Based Residential Treatment Facility, Mental Illness | 18090 Harbeson Rd, Milton, DE 19968-2841 | 2006-08-15 |
| 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 |
25 BLACKSTONE VALLEY PL STE 300 |
| City | LINCOLN |
| State | RI |
| Zip Code | 02865-1163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346749868 | Ckri Incorporated | In Home Supportive Care | 1525 Old Louisquissett Pike, C201, Lincoln, RI 02865 | 2018-02-10 |
| 1053824805 | Daniel Boulanger | Specialist/Technologist | 1762 Louisquisset Pike, Lincoln, RI 02865 | 2017-11-14 |
| 1013449677 | Daniel Gardner | Physical Therapist | 618 George Washington Hwy, Lincoln, RI 02865 | 2017-03-31 |
| 1801335138 | Lucille Ellen Plasse | Registered Nurse | 19 Old Great Road, Lincoln, RI 02865 | 2017-02-20 |
| 1558752014 | Northern Rhode Island Cognitive Behavioral Therapy Inc | Social Worker | 640 George Washington Hwy Ste 103, Lincoln, RI 02865 | 2015-02-05 |
| 1528313004 | Sandra Faria | Counselor | 1525 Old Louisquisset Pike Ste B104, Lincoln, RI 02865 | 2012-07-19 |
| 1982832671 | Deborah F Katcher-buckley | Nurse Practitioner | 2 Wake Robin Rd Unit 201, Lincoln, RI 02865 | 2009-07-01 |
| 1558541011 | Dawn Marie Maguire | Social Worker | 640 George Washington Hwy Ste, Bdg B, Ste 103, Lincoln, RI 02865 | 2007-11-13 |
| 1477675262 | Rhode Island Hospital | Internal Medicine | 701 George Washington Hwy Ste 100, Lincoln, RI 02865 | 2007-04-04 |
| 1083789218 | Thomas Patrick Hines | Pediatrics | 6 Blackstone Valley Place Suite 306b, Lincoln, RI 02865 | 2006-11-22 |
| Find all providers in zip 02865 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903967 | Lincoln Tongue Tie Center LLC | Clinic/Center | 5760 S 86th St Ste 2, Lincoln, NE 68526-6053 | 2020-08-19 |
| 1245882778 | Hospice Community Care of Nebraska, LLC | Clinic/Center | 300 S 68th Street Pl Ste 205, Lincoln, NE 68510-2450 | 2019-07-15 |
| 1700353992 | Ascend Chiropractic, LLC | Clinic/Center | 5611 Nw 1st St Ste 105, Lincoln, NE 68521-4469 | 2018-10-26 |
| 1255834982 | Ks Old Cheney, LLC | Clinic/Center | 6450 O St Ste 2, Lincoln, NE 68510-2369 | 2018-03-08 |
| 1144721820 | Ideal Option, Pllc | Clinic/Center | 600 N Cotner Blvd Ste 101, Lincoln, NE 68505-2343 | 2018-02-27 |
| 1144732728 | Sage Nutrition LLC | Clinic/Center | 2917 Pine Lake Rd Ste E, Lincoln, NE 68516-6032 | 2017-11-03 |
| 1659805109 | Amy Pandorf | Clinic/Center | 2231 Independence Dr, Lincoln, NE 68521-1121 | 2017-04-11 |
| 1831548627 | Care Clinic Now PC | Clinic/Center | 7121 Stephanie Ln Ste 100a, Lincoln, NE 68516-5359 | 2016-06-13 |
| 1831252121 | The Express Clinic, LLC | Clinic/Center | 2525 Pine Lake Road Practice Location 68512, Po 23048 68542, Lincoln, NE 68542 | 2006-12-18 |
| 1801418744 | Huffman Spine & Sports Chiropractic LLC | Clinic/Center | 4130 Pioneer Woods Dr Ste 3, Lincoln, NE 68506-7552 | 2020-05-14 |
| Find all providers in LINCOLN | ||||
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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.