FELLOWSHIP SENIOR DAY CARE CENTER, INC
NPI 1336286350
Alzheimer Center (Dementia Center) in College Park, GA

NPI Status: Active since January 31, 2007

Contact Information

4530 JANICE DR
COLLEGE PARK, GA
ZIP 30337
Phone: (404) 766-6498
Fax: (404) 766-6419

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  • Organization
  • Alzheimer Center (Dementia Center)

About FELLOWSHIP SENIOR DAY CARE CENTER, INC

This page provides the complete NPI Profile along with additional information for Fellowship Senior Day Care Center, Inc, a provider established in College Park, Georgia operating as a Alzheimer Center (dementia Center). The healthcare provider is registered in the NPI registry with number 1336286350 assigned on January 2007. The practitioner's primary taxonomy code is 311500000X with license number 000682459B (GA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Dominique Naar (Director)

NPI
1336286350
Provider Name
FELLOWSHIP SENIOR DAY CARE CENTER, INC
Entity Type
Organization
Location Address
4530 JANICE DR COLLEGE PARK, GA 30337
Location Phone
(404) 766-6498
Location Fax
(404) 766-6419
Mailing Address
4530 JANICE DR COLLEGE PARK, GA 30337
Mailing Phone
(404) 766-6498
Mailing Fax
(404) 766-6419
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-31-2007
Last Update Date
10-05-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Alzheimer Center (Dementia Center)

Taxonomy Code
311500000X
Type
Nursing & Custodial Care Facilities
License No.
000682459B
License State
GA
Taxonomy Description
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QA0600XAmbulatory Health Care Facilities

Clinic/Center
Adult Day Care

 
2261QD1600XAmbulatory Health Care Facilities

Clinic/Center
Developmental Disabilities

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DOMINIQUE NAAR

Authorized Official Title
DIRECTOR
Authorized Official Phone
(404) 766-6498

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000682459CMEDICAID (05)GA 
000682459DMEDICAID (05)GA 
1013083278MEDICAID (05)GA 
000682459BMEDICAID (05)GA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336286350
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23664812310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 4 + 8 + 1 + 2 + 3 + 1 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1336286350 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

FELLOWSHIP SENIOR DAY CARE CENTER INC

Alzheimer Center (Dementia Center)

4530 JANICE DR
COLLEGE PARK, GA
ZIP 30337

(404) 766-6498

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336286350, enumerated in the NPI registry as an "organization" on January 31, 2007

The provider is located at 4530 Janice Dr College Park, Ga 30337 and the phone number is (404) 766-6498

This medical organization specializes in Alzheimer Center (Dementia Center) with taxonomy code 311500000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 31, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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