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MR. KENNEDY OPIYO MWANDA
NPI 1902584451
Custodial Care Facility - Adult Care Home in Portage, MI

Active since July 06, 2023
3320 W MILHAM AVE, PORTAGE, MI 49024(269) 929-8436 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Kennedy Opiyo Mwanda NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENNEDY OPIYO MWANDA (NPI 1902584451) is an individual adult care home provider in Portage, Michigan, licensed in Michigan (AS390410848) and active in the NPI registry since July 2023. He maintains a secondary practice location in Portage.

NPPES Registry Identity

NPI1902584451
Entity TypeIndividualMale
Primary Taxonomy311ZA0620X
Provider Legal NameMR. KENNEDY OPIYO MWANDA
Location Address3320 W MILHAM AVEPortage, MI 49024-1029
Mailing Address3320 W Milham AvePortage, MI 49024-1029 · (269) 929-8436
Phone(269) 929-8436
Sole ProprietorYes
Enumeration DateJuly 6, 2023
NPPES CertifiedJuly 6, 2023
✔ NPI 1902584451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in MI · AS390410848
Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

3320 W MILHAM AVE, Portage, MI 49024
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Secondary Practice Location 1

Location 13320 W Milham AvePortage, MI 49024-1029 · Phone (269) 929-8436

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KM MILHAM CARE LLC
Community Based Residential Treatment Facility, Mental Illness
3320 W MILHAM AVE
PORTAGE, MI 49024
Kalamazoo County (269) 929-8436

Frequently Asked Questions

What is Kennedy Mwanda's NPI number?

The NPI number assigned to this healthcare provider is 1902584451, enumerated as an "individual" on July 06, 2023.

Where is the provider located?

The provider is located at 3320 W MILHAM AVE PORTAGE, MI 49024 and the phone number is (269) 929-8436.

What is the provider's specialty?

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.