Organization Active NPI

Munificent Homes LLC

  • Home Health Agency
  • Kalamazoo, MI
National Provider Identifier
1740857044
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MUNIFICENT HOMES LLC
Practice address
5612 Summer Ridge HL Apt H
Kalamazoo, MI 49009-1046
Phone
(234) 788-5311
NPI assigned
Jun 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Authorized official

Name
Mr. Amon M Pangalala
Title
Administrator
Phone
(234) 788-5311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5612 Summer Ridge HL Apt H
Kalamazoo, MI 49009-1046

Mailing address

5612 Summer Ridge HL Apt H
Kalamazoo, MI 49009-1046
Phone (234) 788-5311

Other names 1

  • Munificent Homes LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1740857044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5612 SUMMER RIDGE HL APT H",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091046",
            "telephone_number": "234-788-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5612 SUMMER RIDGE HL APT H",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091046",
            "telephone_number": "234-788-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNIFICENT HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "PANGALALA",
        "authorized_official_first_name": "AMON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "234-788-5311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Munificent Homes LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.