FELLOWSHIP VILLAGE INC. NPI 1386191302

NPI Information

NPI: 1386191302
Provider Name: FELLOWSHIP VILLAGE INC.

Doing Business As: FELLOWSHIP GARDEN STATE HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 31D2122090

Address:
8000 FELLOWSHIP RD
BASKING RIDGE, NJ
ZIP 07920
Phone: (908) 580-9519
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FELLOWSHIP VILLAGE INC. is a hospice care community based in Basking Ridge, NJ. FELLOWSHIP VILLAGE INC. NPI is 1386191302. The provider is registered as an organization entity type.
The provider Is Doing Business As Fellowship Garden State Hospice.

The provider's business location address is:

8000 FELLOWSHIP RD
BASKING RIDGE, NJ
ZIP 07920-915
Phone: (908) 580-9519
Fax: (908) 580-5186

The provider's authorized official is Brian G Lawrence .
The authorized official title is President & Ceo and has the following contact phone number (908) 580-3805.

The CLIA number assigned to this NPI record is 31D2122090 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2016 and was last updated on 4/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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