FELLOWSHIP HEALTH RESOURCES, INC (NPI# 1619980018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619980018 |
| Entity Type | Organization |
| Organization Name | FELLOWSHIP HEALTH RESOURCES, INC |
| Practice Address |
23769 Shortly Rd Georgetown DE 19947-4754 |
| Mailing Address |
25 Blackstone Valley Pl Suite #300 Lincoln RI 02865-1163 |
| Practice Telephone | 3028567642 |
| Practice Fax Number | 3028567658 |
| Mailing Telephone | 4013333980 |
| Mailing Fax Number | 4013348862 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOSEPH F. DZIOBEK (PRESIDENT/CEO) |
| Authorized Official Telephone | 4013333980 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 1062 | DE | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619348083 | Fellowship Health Resources, Inc | Community/Behavioral Health | 412 W Russell St, Fayetteville, NC 28301-5896 | 2015-10-12 |
| 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 |
| 1154762524 | Fellowship Health Resources, Inc | Clinic/Center | 3010 Falstaff Rd, Raleigh, NC 27610-1813 | 2013-07-12 |
| 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 |
23769 SHORTLY RD |
| City | GEORGETOWN |
| State | DE |
| Zip Code | 19947-4754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417454794 | Adrienne Evans | Counselor | 20505 Dupont Blvd., Georgetown, DE 19947 | 2018-04-12 |
| 1912416637 | Michael Christopher Davis | Registered Nurse | 18945 East Redden Road, Georgetown, DE 19947 | 2017-09-26 |
| 1558891143 | Anthony Powell | Registered Nurse | 18357 Dupont Blvd, Georgetown, DE 19947 | 2017-06-15 |
| 1295262905 | Christa Rodriguez | Registered Nurse | 22975 Lewes Georgetown Hwy, Georgetown, DE 19947 | 2017-05-12 |
| 1851847610 | Leticia Howell | Social Worker | 411 South Bedford Street, Georgetown, DE 19947 | 2016-08-31 |
| 1649628637 | Penelope Pitts | Counselor | 20707 N Dupont Boulevard, Georgetown, DE 19947 | 2016-05-31 |
| 1972996361 | Rocky Mountain Holdings, LLC | Ambulance | 21479 Rudder Ln, Georgetown, DE 19947 | 2015-03-10 |
| 1639413867 | Sheri Lynn Mcafee-garner | Nurse Practitioner | 23203 Dupont Blvd, Georgetown, DE 19947 | 2012-11-09 |
| 1417205071 | Amber Nichole West | Occupational Therapy Assistant | 110 West North Street, Georgetown, DE 19947 | 2012-08-29 |
| 1104130657 | Brain Works Incorporated | Counselor | 20155 Office Circle, Suite 2 Georgetown Professional Park, Georgetown, DE 19947 | 2010-07-27 |
| Find all providers in zip 19947 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477603538 | Providence Self Sufficiency Ministries Inc | Community Based Residential Treatment Facility, Mental Illness | 8037 Unruh Dr, Georgetown, IN 47122-8759 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326186347 | Diamond State Youth, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1413 Lore Avenue, Wilmington, DE 19809 | 2007-02-02 |
| 1912068693 | Resources for Human Development | Community Based Residential Treatment Facility, Mental Illness | 710 W Matson Run Pkwy, Wilmington, DE 19802-1912 | 2006-12-13 |
| 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 |
| 1376103556 | Gaudenzia Inc | Community Based Residential Treatment Facility, Mental Illness | 18514 Pentecostal St, Ellendale, DE 19941-3358 | 2019-06-19 |
| 1821461625 | Children and Families First Delaware, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2005 Baynard Blvd, Wilmington, DE 19802-3917 | 2015-11-03 |
| 1639506942 | Sovhealth Properties, LLC | Community Based Residential Treatment Facility, Mental Illness | 254 Chapman Rd, Topkis Building, Suite 100, Newark, DE 19702-5413 | 2013-10-01 |
| City | GEORGETOWN |
| Zip Code | 19947 |
Please comment or provide details below to improve the information on FELLOWSHIP HEALTH RESOURCES, INC.
| 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.