Organization Active NPI

Fellowship Home Healthcare LLC

  • Home Health Agency
  • Cleveland Heights, OH
National Provider Identifier
1528790458
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FELLOWSHIP HOME HEALTHCARE LLC
Practice address
2490 Lee Blvd Ste 311
Cleveland Heights, OH 44118-1404
Phone
(216) 465-2399
NPI assigned
Jun 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Authorized official

Name
Mrs. Kizzy Warfield
Title
Credentialing Manager
Phone
(216) 938-1216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2490 Lee Blvd Ste 311
Cleveland Heights, OH 44118-1404

Mailing address

2490 Lee Blvd Ste 311
Cleveland Heights, OH 44118-1404
Phone (216) 465-2399

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address willis.barker@fellowshipcares.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1528790458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 LEE BLVD STE 311",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181404",
            "telephone_number": "216-465-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 LEE BLVD STE 311",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181404",
            "telephone_number": "216-465-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELLOWSHIP HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "WARFIELD",
        "authorized_official_first_name": "KIZZY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "216-938-1216",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "willis.barker@fellowshipcares.com",
            "affiliation": "N",
            "address_1": "2490 Lee Blvd Ste 311",
            "city": "Cleveland Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441181404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.