Fellowship Senior Living, Inc.
NPI 1659411437ActiveOrganization· Skilled Nursing Facility· Basking Ridge, NJ
Skilled Nursing Facility in Basking Ridge, New Jersey, registered in NPPES in February 2007. The authorized official on file is Brian Goth Lawrence, CPA, MBA, Ceo & President. Enrolled in Medicare as part a provider - skilled nursing facility and part b supplier - clinic/group practice.
Overview
| NPI | 1659411437 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 8, 2007 |
| Last updated in NPPES | Sep 17, 2026 |
| Certified by provider | Sep 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 061425 | NJ |
| Assisted Living Facility | 310400000X | 082436 | NJ |
| Nurse Practitioner, Adult Health | 363LA2200X | 035724 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (NJ); Part B Supplier - Clinic/Group Practice (NJ) |
|---|
Other Skilled Nursing Facility providers in Basking Ridge
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