Active NPI
Kingdom Rest Center LLC
- Adult Care Home Facility
- Kentwood, MI
National Provider Identifier
1659203347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- KINGDOM REST CENTER LLC
- Doing business as
- Kingdom Rest Center LLC
- Practice address
- 5252 Kimball Ave SE
Kentwood, MI 49508-6147 - Phone
- (616) 323-4379
- Fax
- (616) 570-0944
- NPI assigned
- May 29, 2026
- Last updated
- May 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen V Forkpah, LICENSEE
- Title
- Licensee/ Ceo
- Phone
- (616) 323-4379
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | NU | Primary |
Addresses
Primary practice location
5252 Kimball Ave SE
Kentwood, MI 49508-6147
Mailing address
5252 Kimball Ave SE
Kentwood, MI 49508-6147
Phone (616) 323-4379
Other practice location 1
4455 Summertime Ct SE
Kentwood, MI 49508-7523
Phone (616) 323-4379
Other practice location 2
7174 Martin Ave SE
Grand Rapids, MI 49548-7342
Phone (616) 323-4379
Other names 1
- Kingdom Rest Center LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780012800000",
"number": "1659203347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5252 KIMBALL AVE SE",
"city": "KENTWOOD",
"state": "MI",
"postal_code": "495086147",
"telephone_number": "616-323-4379",
"fax_number": "616-570-0944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5252 KIMBALL AVE SE",
"city": "KENTWOOD",
"state": "MI",
"postal_code": "495086147",
"telephone_number": "616-323-4379",
"fax_number": "616-570-0944"
}
],
"practiceLocations": [
{
"address_1": "4455 Summertime Ct SE",
"address_purpose": "LOCATION",
"city": "Kentwood",
"state": "MI",
"postal_code": "495087523",
"country_code": "US",
"telephone_number": "616-323-4379",
"fax_number": "616-570-0944",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7174 Martin Ave SE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495487342",
"country_code": "US",
"telephone_number": "616-323-4379",
"fax_number": "616-570-0944",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KINGDOM REST CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-29",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A",
"authorized_official_last_name": "FORKPAH",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "LICENSEE/ CEO",
"authorized_official_telephone_number": "616-323-4379",
"authorized_official_credential": "LICENSEE"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kingdom Rest Center LLC",
"code": "3",
"type": "Doing Business As"
}
]
}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 May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.