Fellowship Haven, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FELLOWSHIP HAVEN, LLC

Practice address

10968 NW 9TH MNR
Coral Springs, FL 33071-6480

Phone

(678) 230-2118

NPI assigned

Jun 4, 2020

Organization subpart

No

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

Authorized official

Name

Lorna Laing-Hope

Title

Administrator

Phone

(678) 230-2118

Specialties & licenses 1

Addresses

Other names 1

• Fellowship Haven, LLC Doing business as

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1598389652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10968 NW 9TH MNR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716480",
            "telephone_number": "678-230-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10968 NW 9TH MNR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716480",
            "telephone_number": "678-230-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELLOWSHIP HAVEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "LAING-HOPE",
        "authorized_official_first_name": "LORNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-230-2118"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fellowship Haven, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Joseph Feldman IV, M.D.
• Mitchell L. Feldman, M.D.
• Felicia Ann Tralongo, Psy.D., P.a.
• Felicia Duran DDS
• Emilienne Felix, PMHNP-BC
• Female Health Group LLC
• Carmen Yadira Fenollal Gonzalez
• Tanya Fenton
• Tonusree Thamina Ferdous, PHARM. D.
• Alisha Ferguson, APRN

• Assisted Living Facility in Coral Springs, FL
• Providers in Coral Springs, 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 Jun 4, 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.