Focus Support Group Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL-080-141 Issued in NC

Legal business name

FOCUS SUPPORT GROUP INC.

Practice address

375 Virginia Ave
China Grove, NC 28023-8539

Phone

(704) 855-3853

Fax

(704) 663-1509

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Monday Chineyeze Onuoha

Title

Ceo

Phone

(704) 662-9179

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811044290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 PLAZA LN",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281159555",
            "telephone_number": "704-662-9179",
            "fax_number": "704-663-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 VIRGINIA AVE",
            "city": "CHINA GROVE",
            "state": "NC",
            "postal_code": "280238539",
            "telephone_number": "704-855-3853",
            "fax_number": "704-663-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOCUS SUPPORT GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ONUOHA",
        "authorized_official_first_name": "MONDAY",
        "authorized_official_middle_name": "CHINEYEZE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-662-9179",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-080-141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409409",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.