# CGM HOME HEALTHCARE SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CGM home healthcare and anesthesia services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790148641
- **Authorized official:** MR. JEAN FELIX NYAMBIO CRNA (PRESIDENT)
- **Authorized official phone:** (248) 809-9791

## Contact information

- **Practice address:** 17356 W 12 MILE RD STE 202, SOUTHFIELD, MI 48076-6316
- **Practice address phone:** (248) 809-9791
- **Practice address fax:** (313) 270-7291
- **Mailing address:** 17356 W 12 MILE RD STE 202, SOUTHFIELD, MI 48076-6316
- **Mailing address phone:** (248) 809-9791
- **Mailing address fax:** (313) 270-7291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 4704256997 | MI | Yes |

## Other

- **Enumeration date:** 03/29/2016
- **Last updated:** 08/15/2025