KM Milham Care LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

KM MILHAM CARE LLC

Doing business as

KM Milham Care

Practice address

3320 W Milham Ave
Portage, MI 49024-1029

Phone

(269) 929-8436

NPI assigned

Jul 24, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Kennedy Opiyo MwandaNPI 1902584451

Title

Administrator

Phone

(269) 929-8436

Specialties & licenses 1

Addresses

Other names 1

• KM MILHAM CARE Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kennedy Opiyo Mwanda

  • Adult Care Home Facility
  • Portage, MI
  • NPI 1902584451
  NPD Authorized official

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1366122202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 W MILHAM AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241029",
            "telephone_number": "269-929-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 W MILHAM AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241029",
            "telephone_number": "269-929-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KM MILHAM CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MWANDA",
        "authorized_official_first_name": "KENNEDY",
        "authorized_official_middle_name": "OPIYO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "269-929-8436",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KM MILHAM CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaylin Jane Klok, PA-C
• Eric Klomparens, MD
• Pamela K. Kloosterman, OTR
• Randi Shel Klop, RDN
• Kristy Lynn Klusman, RN
• Alaina C Knoedler, LPC
• Will Knoll
• Jeana Lin Koerber, BCBA
• Joseph Kohane
• Rachael Marie Kohler, LMSW

• Mental Illness Community Based Residential Treatment Facility in Portage, MI
• Providers in Portage, MI by specialty
• Mental Illness Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.