Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

FELLOWSHIP HOUSE LLC
NPI 1770208571
Clinic/Center - Rehabilitation, Substance Use Disorder in Scranton, PA

Active since October 05, 2022CLIA 39D2293119 · Waiver
1736 SANDERSON AVE, SCRANTON, PA 18509(570) 382-8157(785) 262-8423 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 26, 2026, Nov 16, 2023, Jul 21, 2023 and 1 more (4 updates tracked since 2022).

About Fellowship House Llc NPPES

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

FELLOWSHIP HOUSE LLC (NPI 1770208571), doing business as Fellowship House, is a healthcare organization registered as a rehabilitation, substance use disorder in Scranton, Pennsylvania and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through November 2, 2027 and lists Catherine Marie Briegel, Director Of Billing, as its authorized official.

NPPES Registry Identity

NPI1770208571
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameFELLOWSHIP HOUSE LLC
Location Address1736 SANDERSON AVEScranton, PA 18509-1853
Mailing Address1736 Sanderson AveScranton, PA 18509-1853 · (570) 382-8157 · Fax (845) 262-8423
Fax(785) 262-8423
Organization SubpartNo
Authorized OfficialCatherine Marie BriegelDirector Of Billing · (570) 881-4403
Enumeration DateOctober 5, 2022
Last NPPES UpdateAugust 26, 20264 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
NPI 1770208571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
1736 SANDERSON AVE, Scranton, PA 18509

Other Names 1

Doing Business AsFellowship House

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 39D2293119

Fellowship House · Scranton, PA
Active · expires Nov 2, 2027
CLIA Number39D2293119
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 3, 2025
Certificate Expiration DateNovember 2, 2027
Laboratory DirectorDr. Matthew C. Haley
Laboratory Phone(570) 382-8157
Laboratory LocationFellowship House1736 Sanderson Ave, Scranton, PA 18509
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

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

Dentist
1736 SANDERSON AVE
SCRANTON, PA 18509

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 House LLC's NPI number?

The NPI number for Fellowship House LLC is 1770208571. It was assigned to this organization in the NPPES registry on October 5, 2022. The provider is doing business as Fellowship House.

Where is Fellowship House LLC located?

Fellowship House LLC is located at 1736 Sanderson Ave, Scranton, PA 18509. The listed phone number is (570) 382-8157.

What is Fellowship House LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Fellowship House LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2293119) is associated with this NPI, valid through November 2, 2027. 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 House LLC was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.