FONAG, INC.


Address: 44257 Ecorse Rd, Van Buren Twp, MI 48111-1173
Phone: 7346647194

FONAG, INC. (NPI# 1750851226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750851226
Entity Type Organization
Organization Name FONAG, INC.
Practice Address 44257 Ecorse Rd
Van Buren Twp
MI 48111-1173
Mailing Address 40946 Crossbow Cir Apt 105
Canton
MI 48188-3156
Practice Telephone 7346647194
Practice Fax Number 7343319589
Mailing Telephone 7346647194
Mailing Fax Number 7343319589
Enumeration Date 2018-11-27
Last Update Date 2018-11-27
Authorized Official Name MFON UKO (PRESIDENT)
Authorized Official Telephone 7346647193
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health Agencies

Other Provider/Organization Names

Other Name Type Code
Grace At Ecorse Home Doing Business As Name - Organization

Office Location

Street Address 44257 ECORSE RD
City VAN BUREN TWP
State MI
Zip Code 48111-1173

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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

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Competitor

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City VAN BUREN TWP
Zip Code 48111

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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