OrganizationActive
Fellowship House LLC
NPI 1770208571 · Substance Use Disorder Rehabilitation Clinic/Center · Olyphant, PA
Provider details
- NPI number
- 1770208571
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Timothy Calpin, Coo(570) 382-8157
Specialties & taxonomies
Ambulatory Health Care Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
126 Willow Ave
Olyphant, PA 18447-1442
Phone: (845) 332-5468
Street-level locationGet directions
Mailing address
126 Willow Ave
Olyphant, PA 18447-1442
Other names (DBA / former)
- Doing business as
- Fellowship House
Additional practice locations (1)
- 1554 Sanderson AveScranton, PA 18509-2259Phone: (570) 382-8157Fax: (570) 382-3459
Registry dates
- Enumerated
- 2022-10-05
- Last updated
- 2023-11-16
- Certified
- 2023-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.