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).
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 |
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 |
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 |
Street Address |
1070 MAIN ST SUITE 1 FLOOR 2 |
City | PAWTUCKET |
State | RI |
Zip Code | 02860-4847 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 02860 |
Taxonomy Code | 3104A0625X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
Specialization | Assisted Living, Mental Illness |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215183884 | Manchester Manor, Inc. | Assisted Living Facility | 12 Manchester St, Pawtucket, RI 02860-2016 | 2008-08-14 |
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 |
Please comment or provide details below to improve the information on FELLOWSHIP HEALTH RESOURCES.
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.