Organization Active NPI

Fellowship Health Care LLC.

  • In Home Supportive Care Agency
  • Savannah, GA
National Provider Identifier
1710349972
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
025R0794 Issued in GA
Legal business name
FELLOWSHIP HEALTH CARE LLC.
Doing business as
Visiting Angels
Practice address
6205 Abercorn St Ste 101
Savannah, GA 31405-5540
Phone
(912) 335-1020
Fax
(912) 201-1752
NPI assigned
Mar 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Authorized official

Name
Kevin Hertzwig
Title
Owner
Phone
(912) 401-8730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 025R0794 GA Primary

Addresses

Primary practice location

6205 Abercorn St Ste 101
Savannah, GA 31405-5540

Mailing address

6205 Abercorn St Ste 101
Savannah, GA 31405-5540
Phone (912) 335-1020

Other names 1

  • Visiting Angels Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1710349972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6205 ABERCORN ST STE 101",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055540",
            "telephone_number": "912-335-1020",
            "fax_number": "912-201-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6205 ABERCORN ST STE 101",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055540",
            "telephone_number": "912-335-1020",
            "fax_number": "912-201-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELLOWSHIP HEALTH CARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "HERTZWIG",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-401-8730"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "025R0794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.