Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareFELLOWSHIP HOME, INC
Assisted Living Facility
Modesto, California
Provider NPI: 1750388732
Organization Information:Organization Name: FELLOWSHIP HOME, INC
Practice Location:
1745 ELDENA WAY MODESTO, CA 95350 US
Tel: 209-529-4950 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1745 ELDENA WAY MODESTO, CA 95350 US
Tel: 209-529-4950 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | CA | 500300107 |
| N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | CA | 507000572 |
| N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | CA | 507000573 |
| N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | CA | 507000802 |
| Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | CA | 100000019 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 05A047 | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin