Fellowship Home at the Fairway

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FELLOWSHIP HOME AT THE FAIRWAY

Practice address

5959 Sun N Lake Blvd
Sebring, FL 33872-2075

Phone

(863) 385-5454

NPI assigned

Aug 29, 2019

Last updated

Aug 2, 2024By 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

Brenda Bachman

Title

Manager

Phone

(863) 385-5454

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1083262398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5500",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316035500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 SUN N LAKE BLVD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722075",
            "telephone_number": "863-385-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELLOWSHIP HOME AT THE FAIRWAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-29",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "BACHMAN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "863-385-5454"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syed Khooshal Fareeduddin, MD
• Rebecca M Farias, LPN
• Stephanie Diane Farrer, L.M.T.
• Elena F Febre, MD
• Robert E. Fell, PA-C
• Mayelin Fernandez Fuentes, APRN
• Daniela Fernandez
• Francesco Ferretti, M.D.
• Adrian Figueroa Barrios, ARPN
• Indira Figueroa, NP

• Assisted Living Facility in Sebring, FL
• Providers in Sebring, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.