Fellowship Personal Care Home

LBN: Fellowship Assisted Living Llc
Fellowship Personal Care Home is an health care organization with primary practice located at 277 Medical Way , Riverdale GA 30274-2522. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Fellowship Assisted Living Llc can be contacted via phone (770) 909-0221, or through Naar, Dominique via phone (404) 376-7658.

Contact Information

Primary practice address
277 Medical Way Riverdale GA 30274-2522
Phone: (770) 909-0221
Fax: (770) 909-0219
Website:
Map and Directions
Authorized official contact:
Name: Naar, Dominique 4043767658
Phone: (404) 376-7658

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 031-01-241-1 Georgia

Profile Details

NPI number 1184162091
LBN Legal business name Fellowship Assisted Living Llc
DBA Doing business as Fellowship Personal Care Home
Authorized official Naar, Dominique 4043767658
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2017
Last updated Feb 10th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184162091 NPPES
Georgia MEDICAID 860341286A

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