FELLOWSHIP HEALTH RESOURCES


Address: 1070 Main St, Suite 1 Floor 2, Pawtucket, RI 02860-4847
Phone: 4015298206

FELLOWSHIP HEALTH RESOURCES (NPI# 1518262286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518262286
Entity Type Organization
Organization Name FELLOWSHIP HEALTH RESOURCES
Practice Address 1070 Main St
Suite 1 Floor 2
Pawtucket
RI 02860-4847
Practice Telephone 4015298206
Enumeration Date 2011-01-11
Last Update Date 2011-02-09
Authorized Official Name AMY BETH BRAGGER (RN)
Authorized Official Telephone 4017680024
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3104A0625X Assisted Living Facility
Specialization: Assisted Living, Mental Illness
RN47684 RI Nursing & Custodial Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities FELLOWSHIP HEALTH RESOURCES INC. 24 Albion Rd, Suite 420, Lincoln, Rhode Island 02865
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

Office Location

Street Address 1070 MAIN ST
SUITE 1 FLOOR 2
City PAWTUCKET
State RI
Zip Code 02860-4847

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063451623 Anthony Michael Marino Social Worker 1070 Main St, Pawtucket, RI 02860-4847 2006-06-06
1427396456 Melinda Gushwa Social Worker 1070 Main St, Fellowship Behavioral Healthcare Services, Pawtucket, RI 02860-4974 2013-01-25
1003180399 Kristen R Newman Registered Nurse 1070 Main St, Suite 201, Pawtucket, RI 02860-4974 2012-03-04
1730488230 Amy Bragger Registered Nurse 1070 Main St, Suite 1 Floor 2, Pawtucket, RI 02860-4847 2011-03-23
1356507693 Ratkanhnha Siv Counselor 1070 Main St, Suite 201, Pawtucket, RI 02860-4974 2008-08-06
1720180805 Hugo Gonzalez Social Worker 1070 Main St, Pawtucket, RI 02860-4847 2006-09-01
1740294495 Janet Mccoy Social Worker 1070 Main St, Pawtucket, RI 02860-4847 2006-07-28
1164436754 Margaret Plunkett Counselor 1070 Main St, Pawtucket, RI 02860-4847 2006-07-28
1780605303 Michael Benevides Counselor 1070 Main St, Pawtucket, RI 02860-4847 2006-07-21
1871514471 Linda Serabian Social Worker 1070 Main St, Pawtucket, RI 02860-4847 2006-07-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972096923 Lmb Medical LLC Internal Medicine 127 School St, Pawtucket, RI 02860 2018-06-13
1215420435 Tyla Jackson Behavior Technician 70 Wood St Apt 22, Pawtucket, RI 02860 2018-06-12
1376048637 Michael A Iadevaia Family Medicine 111 Brewster St Fl 3, Pawtucket, RI 02860 2018-03-28
1730690488 Anthony Edwin Ramicone Physician Assistant 407 East Ave Ste 120, Pawtucket, RI 02860 2017-10-21
1669991352 Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC Clinic/Center 407 East Ave; Suite 110, Pawtucket, RI 02860 2017-09-13
1841716230 Ri Alternative Academy Management, LLC Local Education Agency (LEA) 249 Roosevelt Avenue, Pawtucket, RI 02860 2017-08-17
1396265724 Hannah R Stoops Family Medicine 111 Brewster St Fcc A, Pawtucket, RI 02860 2017-06-27
1427578400 Shaun Michael Flynn Family Medicine 111 Brewster St, Fcc A, Pawtucket, RI 02860 2017-06-21
1073051843 Laura Jane Amaral Counselor 750 East Ave Unit 1e, Pawtucket, RI 02860 2017-02-01
1063862027 Stephanie Shoppell Counselor 105 Bacon Street, Pawtucket, RI 02860 2016-06-20
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Taxonomy Information

Taxonomy Code 3104A0625X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility
Specialization Assisted Living, Mental Illness

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215183884 Manchester Manor, Inc. Assisted Living Facility 12 Manchester St, Pawtucket, RI 02860-2016 2008-08-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891268819 Greenwich Bay Al Operator, LLC Assisted Living Facility 945 Main St, East Greenwich, RI 02818-3150 2019-01-03

Competitor

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City PAWTUCKET
Zip Code 02860

Improve Information

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Dataset Information

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.

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