KINGDOM REST CENTER LLC NPI 1659203347

NPI Information

  • NPI: 1659203347
  • Provider Name: KINGDOM REST CENTER LLC
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Address: 5252 KIMBALL AVE SE
    KENTWOOD, MI
    ZIP 49508
  • Phone: (616) 323-4379

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NPI Details

KINGDOM REST CENTER LLC is an adult care home custodial care facility in Kentwood, MI. The provider is 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. KINGDOM REST CENTER LLC NPI is 1659203347. The provider is registered as an organization entity type.

The provider's business location address is:

5252 KIMBALL AVE SE
KENTWOOD, MI
ZIP 49508-147
Phone: (616) 323-4379
Fax: (616) 570-0944

The provider's authorized official is Stephen V Forkpah .
The authorized official title is Licensee/ Ceo and has the following contact phone number (616) 323-4379.

The enumeration date for this NPI number is 5/29/2026 and was last updated on 5/29/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care HomeYes

What is NPI?

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This page was last updated on: 11/21/2025

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