Fellowship Medical Adult Day Care Center, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

17184 Issued in MD

Legal business name

FELLOWSHIP MEDICAL ADULT DAY CARE CENTER, INC.

Practice address

18901 Waring Station Rd
Germantown, MD 20874-1906

Phone

(301) 916-4141

Fax

(301) 916-0262

NPI assigned

Apr 24, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jung Hee Lee, LNHA

Title

Owner

Phone

(301) 933-2500

Specialties & licenses 1

Addresses

Other names 1

• Fellowship Adult Day Care Other name

Tax ID family

Fellowship Adult Day Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fellowship Adult Day Care Center

  • Adult Day Care Clinic/Center
  • Germantown, MD
  • NPI 1669662581
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073731865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 RANDOLPH RD",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209021054",
            "telephone_number": "301-933-2500",
            "fax_number": "301-942-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18901 WARING STATION RD",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208741906",
            "telephone_number": "301-916-4141",
            "fax_number": "301-916-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELLOWSHIP MEDICAL ADULT DAY CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JUNG",
        "authorized_official_middle_name": "HEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-933-2500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MD",
            "license": "17184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fellowship Adult Day Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily Farr, PHD
• Asghar A Farsaii, MD
• Atefeh Fathnezhad
• Esther Fatungase
• Fellowship Adult Day Care Center
• Shara Feltz, FNP-BC
• Imelda Eyi Feludu, LCPC
• Courtney Ferguson
• Dayana Carolina Fernan-Zegarra
• Bronessa S Fernandes, PHARM D

• Adult Day Care Clinic/Center in Germantown, MD
• Providers in Germantown, MD by specialty
• Adult Day Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.