FELLOWSHIP HEALTH RESOURCES, INC. (NPI# 1881607299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881607299 |
| Entity Type | Organization |
| Organization Name | FELLOWSHIP HEALTH RESOURCES, INC. |
| Practice Address |
18090 Harbeson Rd Milton DE 19968-2841 |
| Mailing Address |
25 Blackstone Valley Pl Suite #300 Lincoln RI 02865-1163 |
| Practice Telephone | 3026844400 |
| Practice Fax Number | 3026842943 |
| 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 | 1703 | DE | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 1000013799 | 05 |
| 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 |
| 1346253747 | Fellowship Health Resources, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7549 Wilkins Rd, Milford, DE 19963-4106 | 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 |
18090 HARBESON RD |
| City | MILTON |
| State | DE |
| Zip Code | 19968-2841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700337144 | Andreal Beckett | Registered Nurse | 421 S Spinnaker Lane, Milton, DE 19968 | 2016-10-20 |
| 1679648455 | Patricia Hannon | Physician Assistant | 28312 Lewes Georgetown Highway, Cool Spring Office Park, Milton, DE 19968 | 2006-11-21 |
| 1184737751 | Shoreview Medical, Pa | Family Medicine | 28312 Lewes-georgetown Highway, Cool Spring Office Park, Milton, DE 19968 | 2006-08-16 |
| 1376536623 | Elisa M. Montross-lopez | Family Medicine | 630 Mulberry Street, Milton, DE 19968 | 2005-08-23 |
| 1033250493 | Milton Fire Department Inc | Ambulance | 116 Front St, Milton, DE 19968-0000 | 2007-02-09 |
| 1629492376 | William Kobza | Technician/Technologist | 104 Broadkill Rd, Milton, DE 19968-1008 | 2014-02-14 |
| 1720009053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 120 Broadkill Rd, Milton, DE 19968-1008 | 2006-07-22 |
| 1285689786 | Maria V. Haldar | Internal Medicine | 124 Broadkill Rd, Milton, DE 19968-1008 | 2006-05-23 |
| 1588171193 | Ann Lee | Pharmacist | 120 Broadkill Rd, Milton, DE 19968-1008 | 2018-01-04 |
| 1265717086 | Timothy Dillon | Pharmacist | 120 Broadkill Rd, Milton, DE 19968-1008 | 2011-10-12 |
| Find all providers in zip 19968 | ||||
| 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 |
| 1346253747 | Fellowship Health Resources, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7549 Wilkins Rd, Milford, DE 19963-4106 | 2006-08-15 |
| 1619980018 | Fellowship Health Resources, Inc | Community Based Residential Treatment Facility, Mental Illness | 23769 Shortly Rd, Georgetown, DE 19947-4754 | 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.