Healthcare Provider Details

I. General information

NPI: 1780591891
Provider Name (Legal Business Name): FIDELIS COMMUNITY SERVICES LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 N ROBINSON ST
SCHOOLCRAFT MI
49087-9320
US

IV. Provider business mailing address

122 N ROBINSON ST
SCHOOLCRAFT MI
49087-9320
US

V. Phone/Fax

Practice location:
  • Phone: 269-205-3040
  • Fax:
Mailing address:
  • Phone: 269-205-3040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: ELIUD MAINA
Title or Position: DIRECTOR
Credential:
Phone: 269-205-3040