FELLOWSHIP PERSONAL CARE HOME
NPI 1184162091
Assisted Living Facility in Riverdale, GA

Active since February 10, 2017
277 MEDICAL WAY, RIVERDALE, GA 30274(770) 909-0221(770) 909-0219 Get Directions Write a Review

NPPES record last updated: February 10, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fellowship Personal Care Home NPPES

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

FELLOWSHIP PERSONAL CARE HOME (NPI 1184162091) is a healthcare organization registered as an assisted living facility in Riverdale, Georgia and active in the NPI registry since February 2017. The organization lists Dominique Naar, Director, as its authorized official.

NPPES Registry Identity

NPI1184162091
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFELLOWSHIP ASSISTED LIVING LLC
Location Address277 MEDICAL WAYRiverdale, GA 30274-2522
Mailing Address277 Medical WayRiverdale, GA 30274-2522 · (770) 909-0221 · Fax (770) 909-0219
Fax(770) 909-0219
Organization SubpartNo
Authorized OfficialDominique NaarDirector · (404) 376-7658
Enumeration DateFebruary 10, 2017
NPI 1184162091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in GA · 031-01-241-1
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.

277 MEDICAL WAY, Riverdale, GA 30274

Other Names 1

Doing Business AsFellowship Personal Care Home

Other Identifiers 1

Medicaid860341286AGA

Other Providers at the Same Location NPPES 7

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

Substance Abuse Rehabilitation Facility
277 MEDICAL WAY
RIVERDALE, GA 30274
Counselor (Addiction (Substance Use Disorder))
277 MEDICAL WAY
RIVERDALE, GA 30274
Licensed Practical Nurse
277 MEDICAL WAY
RIVERDALE, GA 30274
Nurse Practitioner (Adult Health)
277 MEDICAL WAY
RIVERDALE, GA 30274
Licensed Practical Nurse
277 MEDICAL WAY
RIVERDALE, GA 30274
Registered Nurse
277 MEDICAL WAY
RIVERDALE, GA 30274
Clinic/Center (Mental Health (Including Community Mental Health Center))
277 MEDICAL WAY
RIVERDALE, GA 30274

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 Assisted Living LLC's NPI number?

The NPI number for Fellowship Assisted Living LLC is 1184162091. It was assigned to this organization in the NPPES registry on February 10, 2017. The provider is doing business as Fellowship Personal Care Home.

Where is Fellowship Assisted Living LLC located?

Fellowship Assisted Living LLC is located at 277 Medical Way, Riverdale, GA 30274. The listed phone number is (770) 909-0221.

What is Fellowship Assisted Living LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Fellowship Assisted Living LLC was last updated on February 10, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.