Munificent Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MUNIFICENT CARE LLC

Practice address

5679 Alten St
Portage, MI 49024-9504

Phone

(234) 788-5311

NPI assigned

Mar 7, 2022

Organization subpart

No

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

Authorized official

Name

Amon M Pangalala

Title

Ce0

Phone

(234) 788-5311

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1982351219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5679 ALTEN ST",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490249504",
            "telephone_number": "234-788-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5679 ALTEN ST",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490249504",
            "telephone_number": "234-788-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNIFICENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "PANGALALA",
        "authorized_official_first_name": "AMON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CE0",
        "authorized_official_telephone_number": "234-788-5311"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad E Muffley, MA LLP
• Susan Camille Muinch, MA, LPC
• Jill Rene Mullins, LMSW
• Brenda Mumbower
• Bernard Mun
• Laci Murdock
• Ericka Lynn Murnighan
• Briaunna Murray
• Patricia Ruth Murray, EDD
• Rihab Musa

• In Home Supportive Care Agency in Portage, MI
• Providers in Portage, MI by specialty
• In Home Supportive Care Agency in Michigan

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