NUTRITION CONNECTION GROUP LLC
NPI 1417823006
Nutritionist in Dearborn Heights, MI
About Nutrition Connection Group Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NUTRITION CONNECTION GROUP LLC (NPI 1417823006) is a healthcare organization registered as a nutritionist in Dearborn Heights, Michigan and active in the NPI registry since October 2025. The organization lists Mona Fakih, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nutrition Connection Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Nutrition Connection Group LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Dearborn Heights, MI 48127
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nutrition Connection Group LLC's NPI number?
The NPI number for Nutrition Connection Group LLC is 1417823006. It was assigned to this organization in the NPPES registry on October 13, 2025.
Where is Nutrition Connection Group LLC located?
Nutrition Connection Group LLC is located at 25150 Ford Rd Ste 200, Dearborn Heights, MI 48127. The listed phone number is (313) 284-0822.
What is Nutrition Connection Group LLC's specialty?
The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.
Is Nutrition Connection Group LLC enrolled in Medicare?
Yes. Nutrition Connection Group LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nutrition Connection Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Nutrition Connection Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Nutrition Connection Group LLC was last updated on October 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nutrition Connection Group Llc · NPI 1417823006
Nutritionist organization in Dearborn Heights, Michigan. Organization record, active in the CMS NPPES registry since October 13, 2025.
## Identity
- **NPI:** 1417823006 (Entity type: Organization)
- **Enumerated:** October 13, 2025
- **Primary specialty:** Nutritionist · taxonomy 133N00000X
- **Organization subpart:** No
- **Authorized official:** Mona Fakih, OWNER
## Practice location
- **Address:** 25150 FORD RD STE 200, Dearborn Heights, MI 48127-3163
- **Phone:** (313) 284-0822
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Obstetrics/Gynecology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1417823006) · Data from the CMS NPPES public registry.