Organization Active NPI

C M G Serenity Home Care LLC

  • Adult Care Home Facility
  • Kentwood, MI
National Provider Identifier
1013870096
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
C M G SERENITY HOME CARE LLC
Practice address
1778 Bridle Creek St SE
Kentwood, MI 49508-4935
Phone
(616) 655-6571
NPI assigned
Dec 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Authorized official

Name
Mr. Egide Mucowingabo
Title
General Manager
Phone
(616) 655-6571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

1778 Bridle Creek St SE
Kentwood, MI 49508-4935

Mailing address

1778 Bridle Creek St SE
Kentwood, MI 49508-4935
Phone (616) 655-6571

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1013870096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1778 BRIDLE CREEK ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495084935",
            "telephone_number": "616-655-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1778 BRIDLE CREEK ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495084935",
            "telephone_number": "616-655-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C M G SERENITY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-05",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "MUCOWINGABO",
        "authorized_official_first_name": "EGIDE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "616-655-6571",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentwood, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.