Fonag, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FONAG, INC.

Doing business as

Grace At Ecorse Home

Practice address

44257 Ecorse Rd
Van Buren TWP, MI 48111-1173

Phone

(734) 664-7194

Fax

(734) 331-9589

NPI assigned

Nov 27, 2018

Organization subpart

No

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

Authorized official

Name

Mfon Uko

Title

President

Phone

(734) 664-7193

Specialties & licenses 1

Addresses

Other names 1

• Grace At Ecorse Home Doing business as

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1750851226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40946 CROSSBOW CIR APT 105",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481883156",
            "telephone_number": "734-664-7194",
            "fax_number": "734-331-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44257 ECORSE RD",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "481111173",
            "telephone_number": "734-664-7194",
            "fax_number": "734-331-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FONAG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "UKO",
        "authorized_official_first_name": "MFON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-664-7193"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace At Ecorse Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Van Buren TWP, MI
• Providers in Van Buren TWP, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.