FELLOWSHIP HEALTH RESOURCES, INC (NPI# 1245239680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245239680 |
Entity Type | Organization |
Organization Name | FELLOWSHIP HEALTH RESOURCES, INC |
Practice Address |
24 Albion Rd Suite 420 Lincoln RI 02865-3311 |
Practice Telephone | 4016424416 |
Practice Fax Number | 4016424453 |
Mailing Telephone | 4016424416 |
Mailing Fax Number | 4016424453 |
Enumeration Date | 2005-07-19 |
Last Update Date | 2019-06-10 |
Authorized Official Name | DEBRA M PAUL (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 4013333980 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
MHL-092-684 | NC | Ambulatory Health Care Facilities |
N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | ME | Residential Treatment Facilities | |
N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MA | Residential Treatment Facilities | |
N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | RI | Residential Treatment Facilities | |
N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | VA | Residential Treatment Facilities | |
N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | NC | Residential Treatment Facilities | |
N | 324500000X | Substance Abuse Rehabilitation Facility | MHL-092-683 | NC | Residential Treatment Facilities |
N | 175T00000X | Peer Specialist | Other Service Providers | ||
N | 251B00000X | Case Management | DE | Agencies | |
N | 251B00000X | Case Management | MA | Agencies | |
N | 251B00000X | Case Management | RI | Agencies | |
N | 251B00000X | Case Management | VA | Agencies | |
N | 261Q00000X | Clinic/Center | DE | Ambulatory Health Care Facilities | |
N | 261Q00000X | Clinic/Center | PA | Ambulatory Health Care Facilities | |
Y | 251B00000X | Case Management | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DE | 000656461 | 05 | |
VA | 004944038 | 05 | |
DE | 1000022578 | 05 | |
RI | NE02148 | 05 | |
ME | 15626000 | 05 | |
VA | 004945662 | 05 | |
DE | 10000656461 | 05 | |
RI | NE02149 | 05 |
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 |
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 |
24 ALBION RD SUITE 420 |
City | LINCOLN |
State | RI |
Zip Code | 02865-3311 |
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 | 251B00000X |
Grouping | Agencies |
Classification | Case Management |
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
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1386022333 | Central Illilnois Service Access | Case Management | 101 N Madigan Dr, Lincoln, IL 62656-5445 | 2015-05-11 |
1528357225 | Our Homes | Case Management | 2445 R St, Lincoln, NE 68503-3038 | 2011-04-04 |
1356646103 | Fellowship Health Resources, Inc. | Case Management | 25 Blackstone Valley Pl Ste 300, Lincoln, RI 02865-1163 | 2011-01-25 |
1407048762 | Nebraska Pharmacists Association | Case Management | 6221 S 58th St, Lincoln, NE 68516-3679 | 2007-08-10 |
1285792945 | Centerpointe, Inc. | Case Management | 1000 S 13th St, Lincoln, NE 68508-3533 | 2006-12-05 |
1780937110 | Retha Ann Knapp | Case Management | 2633 P St, Lincoln, NE 68503-3528 | 2012-10-23 |
1861799421 | Centerpointe, Inc. | Case Management | 1000 S 13th St, Lincoln, NE 68508-3533 | 2011-02-17 |
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1407391923 | Dorcas International Insitute of Ri, Inc | Case Management | 220 Elmwood Ave, Providence, RI 02907-1435 | 2016-12-20 |
1740655588 | Stephanie R. Kinnaman | Case Management | 154 Peirce St, #3, East Greenwich, RI 02818-3238 | 2015-12-04 |
1851649909 | About Families Cedarr Center | Case Management | 203 Concord St Unit 335, Pawtucket, RI 02860-3478 | 2012-08-21 |
1144456773 | Northeast Behavioral Associates | Case Management | 2348 Post Rd, Suite 107, Warwick, RI 02886-2258 | 2009-06-10 |
1730396938 | Socio-economic Development Ctr. for Se Asians | Case Management | 270 Elmwood Ave, Providence, RI 02907-1524 | 2007-05-17 |
1013129634 | John Hope Settlement House | Case Management | 7 Burgess St, Providence, RI 02903-4034 | 2007-05-04 |
1760608228 | Urban League of Rhode Island, Inc | Case Management | 246 Prairie Ave, Providence, RI 02905-2333 | 2007-04-17 |
1245456532 | Westbay Community Action, Inc. | Case Management | 205 Buttonwoods Ave, Warwick, RI 02886-7506 | 2007-04-17 |
1275663379 | Blackstone Valley Community Action Program, Inc. | Case Management | 32 Goff Ave, Pawtucket, RI 02860-2928 | 2007-03-07 |
1548398605 | Family Resources Community Action | Case Management | 115 Nelson St, Providence, RI 02908-2710 | 2007-03-01 |
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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.