NPIMap

Organization Active NPI

Fusion Home Health Care Agency Inc

  • Home Health Agency
  • Troy, MI
National Provider Identifier
1679624134
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FUSION HOME HEALTH CARE AGENCY INC
Practice address
3150 Livernois Rd Ste 210
Troy, MI 48083-5039
Phone
(313) 885-5580
Fax
(313) 885-5582
NPI assigned
Jan 12, 2007
Organization subpart
Yes
Parent organization
NUERA HEALTH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Authorized official

Name
Eleas Telegadas
Title
President/ Owner
Phone
(313) 885-5580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3150 Livernois Rd Ste 210
Troy, MI 48083-5039

Mailing address

3150 Livernois Rd Ste 210
Troy, MI 48083-5039
Phone (313) 885-5580

Other practice location 1

20390 Harper Ave
Suite 2
Harper Woods, MI 48225-1643
Phone (313) 885-5580

Other names 1

  • Fusion Home Care Agency Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.Kinnser.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051108000412 MI Part A Provider - Home Health Agency 7618995655 Practice locations: Troy, MI

Home health agency certification: CCN 237644

Legal name
FUSION HOME HEALTH CARE AGENCY, INC
Doing business as
FUSION HEALTH CARE AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 21, 2006
Last certification
Oct 14, 2006
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 3, 2005 in MI
Enrollment address
3150 Livernois Rd
Ste 210
Troy, MI 48083-5039

Care Compare: Home health agency

Medicare Care Compare
Listed as
Fusion Health Care AgencyCCN 237644
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Dec 21, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Fusion Home Care Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

20390 Harper Ave
Ste 2
Harper Woods, MI 48225
Phone (313) 885-5580

20390 Harper Ave
#2
Harper Woods, MI 48225
Phone (313) 885-5580

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Andrea L Gartner Individual General Partnership InterestAdministrator Jan 31, 2022 33%
Corporate OfficerAdministrator Jan 31, 2022
Corporate DirectorAdministrator Jan 31, 2022
W-2 Managing EmployeeAdministrator Jan 31, 2022
Operational/Managerial ControlAdministrator Jan 31, 2022
Nuera Health LLC Organization, Troy, MI Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jan 31, 2022 100%
Eleas Telegadas Individual 5% Or Greater Indirect Ownership Interest Jan 31, 2022 100%
Corporate OfficerPresident/Owner Jan 31, 2022
W-2 Managing EmployeePresident/Owner Jan 31, 2022
Operational/Managerial ControlPresident/Owner Jan 31, 2022
Denise C Kovacs Individual General Partnership InterestAdministrator Jan 31, 2022 33%
Corporate OfficerAdministrator Jan 31, 2022
Corporate DirectorAdministrator Jan 31, 2022
W-2 Managing EmployeeAdministrator Jan 31, 2022

Practitioners & affiliated clinicians

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1679624134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 LIVERNOIS RD STE 210",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835039",
            "telephone_number": "313-885-5580",
            "fax_number": "313-885-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 LIVERNOIS RD STE 210",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835039",
            "telephone_number": "313-885-5580",
            "fax_number": "313-885-5582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20390 Harper Ave",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Harper Woods",
            "state": "MI",
            "postal_code": "482251643",
            "country_code": "US",
            "telephone_number": "313-885-5580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FUSION HOME HEALTH CARE AGENCY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NUERA HEALTH LLC",
        "enumeration_date": "2007-01-12",
        "last_updated": "2022-08-17",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "TELEGADAS",
        "authorized_official_first_name": "ELEAS",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "313-885-5580"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.Kinnser.net",
            "affiliation": "N",
            "address_1": "3150 Livernois Rd Ste 210",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480835039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Fusion Home Care Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.