NPI
Fellowship Home, Inc
Doing business as Casa De Modesto Retirement Center. NPI 1750388732
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2005-07-05
- Last updated
- 2016-12-07
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Specialties
Licenses
- License CA
- 500300107
- License CA
- 507000572
- License CA
- 507000573
- License CA
- 507000802
- License CA
- 100000019
Location
- Practice location
- 1745 Eldena Way
- City
- Modesto CA
- Postal code
- 95350-3568
- Phone
- (209) 529-4950
Organization contact
- Name
- Kelly Wiest
- Title
- Executive Director
- Phone
- (209) 529-4950
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Modesto, CA. 10,730 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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