FELLOWSHIP HOUSE
NPI 1770208571
Clinic/Center - Rehabilitation, Substance Use Disorder in Olyphant, PA
About Fellowship House NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FELLOWSHIP HOUSE (NPI 1770208571) is a healthcare organization registered as a rehabilitation, substance use disorder in Olyphant, Pennsylvania and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through November 2, 2027, maintains a secondary practice location in Scranton, and lists Timothy Calpin, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
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, PAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 126 Willow Ave, Olyphant, PA 18447. The listed phone number is (845) 332-5468.
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 November 16, 2023. 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.
# Fellowship House · NPI 1770208571
Rehabilitation, Substance Use Disorder organization in Olyphant, Pennsylvania. Organization record, active in the CMS NPPES registry since October 5, 2022.
## Identity
- **NPI:** 1770208571 (Entity type: Organization)
- **Enumerated:** October 5, 2022
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Legal business name:** Fellowship House Llc
- **Organization subpart:** No
- **Authorized official:** Timothy Calpin, COO
## Practice location
- **Address:** 126 WILLOW AVE, Olyphant, PA 18447-1442
- **Phone:** (845) 332-5468
## Record status
- **NPPES last updated:** November 16, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1770208571) · Data from the CMS NPPES public registry.