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FELLOWSHIP HOME AT THE FAIRWAY
NPI 1083262398
Assisted Living Facility in Sebring, FL

Active since August 29, 2019CLIA 10D0978154 · Waiver
5959 SUN N LAKE BLVD, SEBRING, FL 33872(863) 385-5454 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 2, 2024, Oct 9, 2019, Aug 29, 2019 (3 updates tracked since 2019).

About Fellowship Home At The Fairway NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FELLOWSHIP HOME AT THE FAIRWAY (NPI 1083262398) is a healthcare organization registered as an assisted living facility in Sebring, Florida and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through September 17, 2026 and lists Brenda Bachman, Manager, as its authorized official.

NPPES Registry Identity

NPI1083262398
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFELLOWSHIP HOME AT THE FAIRWAY
Location Address5959 SUN N LAKE BLVDSebring, FL 33872-2075
Mailing AddressPo Box 5500Valdosta, GA 31603-5500
Phone(863) 385-5454
Organization SubpartNo
Authorized OfficialBrenda BachmanManager · (863) 385-5454
Enumeration DateAugust 29, 2019
Last NPPES UpdateAugust 2, 20243 updates tracked since enumeration
NPPES CertifiedAugust 2, 2024
✔ NPI 1083262398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
5959 SUN N LAKE BLVD, Sebring, FL 33872
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0978154

Fellowship Home At The Fairway LLC · Sebring, FL
Active · expires Sep 17, 2026
CLIA Number10D0978154
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 18, 2024
Certificate Expiration DateSeptember 17, 2026
Laboratory DirectorTamara Reed
Laboratory Phone(863) 385-5454
Laboratory LocationFellowship Home At The Fairway LLC5959 Sun N Lake Blvd, Sebring, FL 33872
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNETTE M. BULLARD COTA
Occupational Therapist
5959 SUN N LAKE BLVD
SEBRING, FL 33872
Highlands County (863) 385-5454
JILLMARY CHAZHICATTU MSOTR/L
Occupational Therapist
5959 SUN N LAKE BLVD
SEBRING, FL 33872
Highlands County (863) 385-5454
AMERICAN SENIOR LIVING OF SEBRING, FL, LLC
Assisted Living Facility
5959 SUN N LAKE BLVD
SEBRING, FL 33872
Highlands County (863) 385-5454
DEBORAH R LEE PTA
Physical Therapy Assistant
5959 SUN N LAKE BLVD
SEBRING, FL 33872
Highlands County (863) 385-5454
ARIEL A AURE PT
Physical Therapist
5959 SUN N LAKE BLVD
SEBRING, FL 33872
Highlands County (863) 385-5454
ANAGHA S WAGLE BSCOT
Specialist
5959 SUN N LAKE BLVD
SEBRING, FL 33872
Highlands County (863) 471-6128
OSPREY MANOR FAIRWAY, LLC
Assisted Living Facility
5959 SUN N LAKE BLVD
SEBRING, FL 33872
Highlands County (863) 226-0358
LOREN GAIL BROOKER OTR
Occupational Therapist
5959 SUN N LAKE BLVD
SEBRING, FL 33872
Highlands County (863) 385-5454

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fellowship Home At The Fairway's NPI number?

The NPI number for Fellowship Home At The Fairway is 1083262398. It was assigned to this organization in the NPPES registry on August 29, 2019.

Where is Fellowship Home At The Fairway located?

Fellowship Home At The Fairway is located at 5959 Sun N Lake Blvd, Sebring, FL 33872. The listed phone number is (863) 385-5454.

What is Fellowship Home At The Fairway's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Fellowship Home At The Fairway hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0978154) is associated with this NPI, valid through September 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fellowship Home At The Fairway was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.