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Fellowship Home, Inc

Skilled Nursing Facility in Modesto, CA · enumerated 2005 · authorized official Kelly Wiest, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1750388732

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Registry record

Entity type Organization (Type 2)
Legal business name Fellowship Home, Inc
Other name <Unavail>
Practice address 1745 Eldena Way, Modesto, CA, 95350
Phone (209) 529-4950
Fax (209) 529-0957
Enumeration date Jul 5, 2005
Last updated in NPPES Dec 7, 2016

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License 500300107 (CA) Secondary
310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License 507000572 (CA) Secondary
310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License 507000573 (CA) Secondary
310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License 507000802 (CA) Secondary
314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 100000019 (CA) Primary

Authorized official

Name Kelly Wiest
Title Executive Director
Phone (209) 529-4950

Other identifiers

Identifier Type State Issuer
05A047 Medicaid CA -

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.

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Frequently asked questions

What is the NPI number for Fellowship Home, Inc?
The NPI for Fellowship Home, Inc is 1750388732, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Fellowship Home, Inc?
NPPES lists Kelly Wiest (Executive Director) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-12-07.