Acon Services, Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

ACON SERVICES, INC.

Practice address

17126 Prevost St
Detroit, MI 48235-3551

Phone

(313) 340-2500

Fax

(313) 340-2420

NPI assigned

Oct 14, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Anthony Nnamdi Ezeanya

Title

President/Executive Director

Phone

(313) 340-2500

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539475200000",
    "number": "1477029700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6481 ROYAL POINTE DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222057",
            "telephone_number": "313-377-2016",
            "fax_number": "313-340-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17126 PREVOST ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353551",
            "telephone_number": "313-340-2500",
            "fax_number": "313-340-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACON SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-14",
        "last_updated": "2018-10-14",
        "status": "A",
        "authorized_official_last_name": "EZEANYA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "NNAMDI",
        "authorized_official_title_or_position": "PRESIDENT/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "313-340-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.