Fellowship Home, Inc
Fellowship Home, Inc is a healthcare organization registered as Skilled Nursing Facility in Modesto, CA, holding Type 2 (organization) NPI 1750388732 since 2005. The authorized official on file is Kelly Wiest, Executive Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1750388732 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fellowship Home, Inc |
| Other name | <Unavail> |
| Practice address | 1745 ELDENA WAY, Modesto, CA, 95350 |
| Phone | 2095294950 |
| Fax | 2095290957 |
| Enumeration date | 2005-07-05 |
| Last updated in NPPES | 2016-12-07 |
Authorized official
| Name | Kelly Wiest |
|---|---|
| Title | Executive Director |
| Phone | 2095294950 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | Secondary | 500300107 | CA |
| 310400000X | Assisted Living Facility | Secondary | 507000572 | CA |
| 310400000X | Assisted Living Facility | Secondary | 507000573 | CA |
| 310400000X | Assisted Living Facility | Secondary | 507000802 | CA |
| 314000000X | Skilled Nursing Facility | Primary | 100000019 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05A047 | Medicaid | CA | — |
Copy-ready billing details
Provider: Fellowship Home, Inc NPI: 1750388732 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 1745 ELDENA WAY, Modesto, CA, 95350
Verify this record
Cross-check NPI 1750388732 against the authoritative CMS record: view Fellowship Home, Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Fellowship Home, Inc?
Who is the authorized official for Fellowship Home, Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-12-07.