FELLOWSHIP HEALTH RESOURCES, INC. (NPI# 1346253747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346253747 |
| Entity Type | Organization |
| Organization Name | FELLOWSHIP HEALTH RESOURCES, INC. |
| Practice Address |
7549 Wilkins Rd Milford DE 19963-4106 |
| Mailing Address |
25 Blackstone Valley Pl Suite #300 Lincoln RI 02865-1163 |
| Practice Telephone | 3024226699 |
| Practice Fax Number | 3024221898 |
| 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 | 1517 | DE | Residential Treatment 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 |
| 1356646103 | Fellowship Health Resources, Inc. | Case Management | 25 Blackstone Valley Pl Ste 300, Lincoln, RI 02865-1163 | 2011-01-25 |
| 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 |
7549 WILKINS RD |
| City | MILFORD |
| State | DE |
| Zip Code | 19963-4106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306302336 | Auto Accident Pain & Rehab, LLC | Chiropractor | 907 N. Dupent Hwy, Suite 103, Milford, DE 19963 | 2019-02-14 |
| 1316402530 | Kelsey Ann Queen | Behavioral Analyst | 1010-1012 Mattlind Way, Milford, DE 19963 | 2019-02-01 |
| 1184136350 | Paul Inge | Nurse Practitioner | 301 Jefferson Avenue, Mail Code 3119, Milford, DE 19963 | 2017-10-27 |
| 1346779774 | Leo Fernandez | Physical Therapist | 300 Hall Place, Milford, DE 19963 | 2017-06-08 |
| 1932642824 | Taryn Guyer | Occupational Therapy Assistant | 17123 Brittany Place, Milford, DE 19963 | 2016-11-23 |
| 1073985602 | Darren Wayne Camper | Physical Therapy Assistant | 800 Airport Road Suite 102, Milford, DE 19963 | 2015-10-22 |
| 1316327091 | Chayil Healthcare LLC | Home Health | 686 Norht Dupont Hwy, Pmb#155, Milford, DE 19963 | 2015-06-08 |
| 1750717773 | Katie Roney | Behavioral Analyst | 1010 Mattlind Way, Milford, DE 19963 | 2013-09-23 |
| 1083961460 | Halleh Asadpour | Dentist | 215 W Liberty Way, Milford, DE 19963 | 2012-08-06 |
| 1225318033 | Betsy Campana | Pharmacist | 21 S. Clarke Ave, Milford, DE 19963 | 2011-08-24 |
| Find all providers in zip 19963 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1619980018 | Fellowship Health Resources, Inc | Community Based Residential Treatment Facility, Mental Illness | 23769 Shortly Rd, Georgetown, DE 19947-4754 | 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 |
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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.