Organization Active NPI

Fellowship House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Niagara Falls, NY
National Provider Identifier
1376736959
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
FELLOWSHIP HOUSE, INC.
Practice address
625 Buffalo Ave
Niagara Falls, NY 14303-1322
Phone
(716) 282-8510
Fax
(716) 282-4882
NPI assigned
Aug 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Authorized official

Name
Dr. Donald C. Schultz, PH.D., CASAC
Title
Executive Director
Phone
(716) 282-8510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

625 Buffalo Ave
Niagara Falls, NY 14303-1322

Mailing address

625 Buffalo Ave
Niagara Falls, NY 14303-1322
Phone (716) 282-8510

National Provider Directory

National Provider Directory

Locations

625 Buffalo Ave
Niagara Falls, NY 14303
Phone (716) 282-8510

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1376736959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 BUFFALO AVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143031322",
            "telephone_number": "716-282-8510",
            "fax_number": "716-282-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 BUFFALO AVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143031322",
            "telephone_number": "716-282-8510",
            "fax_number": "716-282-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELLOWSHIP HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "716-282-8510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., CASAC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.