Pendogani GL LLC

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

PENDOGANI GL LLC

Practice address

3675 Ponca CT SW
Grandville, MI 49418-1775

Phone

(616) 821-2213

NPI assigned

May 25, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Kibuku Gichemi

Title

Agent

Phone

(616) 821-2213

Specialties & licenses 1

Addresses

Other names 1

• Pendogani GL LLC Other name

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1578201901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4654 MIDDLEBURY DR SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495123990",
            "telephone_number": "616-821-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 PONCA CT SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181775",
            "telephone_number": "616-821-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENDOGANI GL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "GICHEMI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "KIBUKU",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "616-821-2213",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pendogani GL LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Foster Care Agency in Grandville, MI
• Providers in Grandville, MI by specialty
• Foster Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.