CGM Home Healthcare Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

4704256997 Issued in MI

Legal business name

CGM HOME HEALTHCARE SERVICES, INC

Practice address

17356 W 12 Mile Rd Ste 202
Southfield, MI 48076-6316

Phone

(248) 809-9791

Fax

(313) 270-7291

NPI assigned

Mar 29, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Jean Felix Nyambio, CRNANPI 1891815445

Title

President

Phone

(248) 809-9791

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CGM home healthcare and anesthesia services Former legal business name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Home health agency certification: CCN 239316

Legal name

CGM HOME HEALTHCARE SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 17, 2020

Last certification

Apr 17, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Mar 2, 2016 in MI

Enrollment address

17356 W 12 Mile Rd
Ste 202
Southfield, MI 48076-6316
HHA Branch

Listed as

CGM Home Health CareCCN 239316

Ownership

Proprietary

Certified

Apr 17, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Jean Nyambio, CRNA

  • Certified Registered Nurse Anesthetist
  • Detroit, MI
  • NPI 1891815445

  5% Or Greater Direct Ownership Interest, Corporate Director, Operational/Managerial Control

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jean Nyambio, CRNA

  • Certified Registered Nurse Anesthetist
  • Detroit, MI
  • NPI 1891815445
  NPD Authorized official

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1790148641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17356 W 12 MILE RD STE 202",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480766316",
            "telephone_number": "248-809-9791",
            "fax_number": "313-270-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17356 W 12 MILE RD STE 202",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480766316",
            "telephone_number": "248-809-9791",
            "fax_number": "313-270-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CGM HOME HEALTHCARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "NYAMBIO",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "FELIX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-809-9791",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "4704256997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902234040",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CGM home healthcare and anesthesia services",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "CGM home healthcare and anesthesia services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Satish Kumar Cham, MD
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• Home Health Agency in Southfield, MI
• Providers in Southfield, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.