FELLOWSHIP HOUSE, INC. (NPI# 1376736959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376736959 |
| Entity Type | Organization |
| Organization Name | FELLOWSHIP HOUSE, INC. |
| Practice Address |
625 Buffalo Ave Niagara Falls NY 14303-1322 |
| Practice Telephone | 7162828510 |
| Practice Fax Number | 7162824882 |
| Mailing Telephone | 7162828510 |
| Mailing Fax Number | 7162824882 |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2007-08-27 |
| Authorized Official Name | DR. DONALD C. SCHULTZ (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7162828510 |
| Authorized Official Credential | PH.D., CASAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467590984 | Fellowship House, Inc. | Substance Abuse Rehabilitation Facility | 1625 12th Ave S, Birmingham, AL 35205-4709 | 2007-02-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | FELLOWSHIP HOUSE, INC. | 1630 S College Ave, Ste C1, Fort Collins, CO 80525 |
| Indiana Business Entities | FELLOWSHIP HOUSE, INCORPORATED | 1438 E Calvert St, South Bend, IN 46613 |
| Street Address |
625 BUFFALO AVE |
| City | NIAGARA FALLS |
| State | NY |
| Zip Code | 14303-1322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942730205 | Tabatha Lynn Miller | Licensed Practical Nurse | 2470 Allen Avenue, North Pointe Council, Niagara Falls, NY 14303 | 2017-06-19 |
| 1144620675 | Carl Turner | Social Worker | 225 Old Falls St Ste 3b, Niagara Falls, NY 14303 | 2014-09-03 |
| 1891167243 | Michelle Volpe | Counselor | 225 Old Falls St Ste 3b, Niagara Falls, NY 14303 | 2015-10-26 |
| 1639138910 | Katherine E. O'mara | Counselor | 345 3rd St, Suite 515, Niagara Falls, NY 14303-1145 | 2006-03-23 |
| 1609838622 | Deborah L. Schnitzer | Counselor | 345 3rd St, Suite 515, Niagara Falls, NY 14303-1145 | 2006-04-05 |
| 1851352405 | Nina M. Maines | Counselor | 345 3rd St, Suite 515, Niagara Falls, NY 14303-1145 | 2006-03-31 |
| 1306807565 | Clark C. Stein | Counselor | 345 3rd St, Suite 515, Niagara Falls, NY 14303-1145 | 2006-03-29 |
| 1306160544 | Hongbiao Liu | General Practice | 151 Buffalo Ave Ste 206, Niagara Falls, NY 14303-1200 | 2010-03-17 |
| 1588867287 | Julielynn Wong | Preventive Medicine | 250 Rainbow Blvd Apt 802, Niagara Falls, NY 14303-1230 | 2007-06-08 |
| 1245539162 | Salvatore Cieri Jr. | Social Worker | 256 3rd St Ste 15, Niagara Falls, NY 14303-1231 | 2011-03-17 |
| Find all providers in zip 14303 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942660824 | Northpointe Council, Inc. | Substance Abuse Rehabilitation Facility | 2470 Allen Ave, First Step Center, Niagara Falls, NY 14303-1908 | 2016-03-04 |
| 1316312580 | Cazenovia Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 431 Memorial Pkwy, Niagara Falls, NY 14303-1407 | 2015-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337224 | Council On Addiction Recovery Services, Inc. | Substance Abuse Rehabilitation Facility | 1355 Olean-portville Road, Westons Mills, NY 14788-1476 | 2020-02-05 |
| 1528609799 | Ebdk At Calverton | Substance Abuse Rehabilitation Facility | 525 Jan Way, Calverton, NY 11933-3005 | 2019-09-30 |
| 1124679998 | Resource Recovery Center of Orange County LLC | Substance Abuse Rehabilitation Facility | 68 Crystal Run Rd, Middletown, NY 10941-7100 | 2019-09-24 |
| 1326506064 | Mountainside - Huntington | Substance Abuse Rehabilitation Facility | 141 E Main St Ste 2, Huntington, NY 11743-2850 | 2019-03-12 |
| 1023589090 | Argus Community, Inc. | Substance Abuse Rehabilitation Facility | 2015-25 Madison Avenue, 4th Floor, New York, NY 10035-1015 | 2018-12-16 |
| 1578030797 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave, Albany, NY 12206-2408 | 2018-10-25 |
| 1467949867 | Ocean Recovery East LLC | Substance Abuse Rehabilitation Facility | 113 E 60th St, New York, NY 10022-1939 | 2018-04-20 |
| 1578050944 | Elev8 Center New York, LLC | Substance Abuse Rehabilitation Facility | 151 W 136th St, New York, NY 10030-2606 | 2018-04-20 |
| 1518491174 | Aaron Smith | Substance Abuse Rehabilitation Facility | 460 Brielle Ave, Building H, Staten Island, NY 10314 | 2017-04-20 |
| 1346772019 | Catholic Charities of The Diocese of Rockville Centre | Substance Abuse Rehabilitation Facility | 30 Carlough Rd Ste C, Bohemia, NY 11716-2919 | 2017-03-31 |
| Find all providers with the same taxonomy | ||||
| City | NIAGARA FALLS |
| Zip Code | 14303 |
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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.