CGM HOME HEALTHCARE SERVICES, INC
NPI 1790148641
Home Health in Southfield, MI

NPI Status: Active since March 29, 2016

Contact Information

17356 W 12 MILE RD STE 202
SOUTHFIELD, MI
ZIP 48076
Phone: (248) 809-9791
Fax: (313) 270-7291

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  • Organization
  • Home Health
  • Accepts Insurance
  • CLIA Number: 23D2195277
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 06-23-2027

About CGM HOME HEALTHCARE SERVICES, INC

This page provides the complete NPI Profile along with additional information for Cgm Home Healthcare Services, Inc, a provider established in Southfield, Michigan operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1790148641 assigned on March 2016. The practitioner's primary taxonomy code is 251E00000X with license number 4704256997 (MI). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Mr. Jean Felix Nyambio Crna (President)

NPI
1790148641
Provider Legal Name
CGM HOME HEALTHCARE SERVICES, INC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
17356 W 12 MILE RD STE 202 SOUTHFIELD, MI 48076
Location Phone
(248) 809-9791
Location Fax
(313) 270-7291
Mailing Address
17356 W 12 MILE RD STE 202 SOUTHFIELD, MI 48076
Mailing Phone
(248) 809-9791
Mailing Fax
(313) 270-7291
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-29-2016
Last Update Date
08-15-2025
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
License No.
4704256997
License State
MI
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • MyPriority Balanced Silver - HMO
  • MyPriority Balanced Silver Southeast Michigan Network - HMO
  • MyPriority Balanced Silver Trinity Health East Network - HMO
  • MyPriority Enhanced Gold Southeast Michigan Network - HMO
  • MyPriority Enhanced Gold Trinity Health East Network - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Premier Silver Trinity Health East Network - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Southeast Michigan Network - HMO
  • MyPriority Standard Bronze - Travel - HMO
  • MyPriority Standard Bronze - Trinity Health East Network - HMO
  • MyPriority Standard Gold - HMO
  • MyPriority Standard Gold Southeast Michigan Network - HMO
  • MyPriority Standard Gold Trinity Health East Network - HMO
  • MyPriority Standard Silver - HMO
  • MyPriority Standard Silver - Southeast Michigan Network - HMO
  • MyPriority Standard Silver - Travel - HMO
  • MyPriority Standard Silver - Trinity Health East Network - HMO
  • MyPriority Value Bronze - HMO
  • MyPriority Value Bronze HSA - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JEAN FELIX NYAMBIO CRNA

Authorized Official Title
PRESIDENT
Authorized Official Phone
(248) 809-9791

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1902234040MEDICAID (05)MI 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2195277
Facility Type
Home Health Agency
Certificate Effective Date
June 24, 2025
Certificate Expiration Date
June 23, 2027
Laboratory Director
JEAN F. NYAMBIO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cgm Home Healthcare Services, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CGM HOME HEALTHCARE SERVICES, INC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1790148641, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 1 → 2 8 → 16 → 7 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 8 + 0 + 2 + 4 + 1 + 6 + 6 + 8 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1790148641.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Community/Behavioral Health
17356 W 12 MILE RD STE 202
SOUTHFIELD, MI 48076

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790148641, enumerated as an "organization" on March 29, 2016.

The provider is located at 17356 W 12 MILE RD STE 202 SOUTHFIELD, MI 48076 and the phone number is (248) 809-9791.

Home Health with taxonomy code 251E00000X.

The provider might be accepting Accepts: Priority Health, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.