Organization Active NPI

Perennial Health Services PLC

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1013284314
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801021536 Issued in MI
Legal business name
PERENNIAL HEALTH SERVICES PLC
Practice address
233 E Fulton St
Suite 114
Grand Rapids, MI 49503-3200
Phone
(616) 633-7203
Fax
(616) 427-3023
NPI assigned
Nov 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Gilbert Darrin Carde, LMSW
Title
Chief Executive Clinician
Phone
(616) 633-7203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801021536 MI Primary

Addresses

Primary practice location

233 E Fulton St
Suite 114
Grand Rapids, MI 49503-3200

Mailing address

233 Fulton St E
Suite 114
Grand Rapids, MI 49503-3200
Phone (616) 633-7203

National Provider Directory

National Provider Directory

Locations

233 Fulton St E
Ste 114
Grand Rapids, MI 49503
Phone (616) 633-7203

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1013284314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 FULTON ST E",
            "address_2": "SUITE 114",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033200",
            "telephone_number": "616-633-7203",
            "fax_number": "616-427-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E FULTON ST",
            "address_2": "SUITE 114",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033200",
            "telephone_number": "616-633-7203",
            "fax_number": "616-427-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERENNIAL HEALTH SERVICES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "CARDE",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "DARRIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE CLINICIAN",
        "authorized_official_telephone_number": "616-633-7203",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801021536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.