Fox Manor, Inc.

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

FOX MANOR, INC.

Practice address

2350 Watkins Lake Rd
Waterford, MI 48328-1468

Phone

(248) 886-5840

NPI assigned

Jan 26, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Richard Acho

Title

President & Chief Executive Officer

Phone

(248) 345-2240

Specialties & licenses 1

Addresses

Other names 1

• Fox Manor Doing business as

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1841906583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 WATKINS LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281468",
            "telephone_number": "248-886-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 WATKINS LAKE RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281468",
            "telephone_number": "248-886-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "ACHO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "248-345-2240",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fox Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Lee Fons
• Chelsey C Forry, M.D.
• Derek Foster, D.O
• Jamaiya Foster
• Carl Fowler, MD
• Brianna Lynn Fox
• Freedom House Resource Center
• Freedom House Resource Center Inc
• Freedom Villa Inc
• Coleman Luis Fresquez

• Custodial Care Facility in Waterford, MI
• Providers in Waterford, MI by specialty
• Custodial Care Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.