Active NPI
Sherria E Perry, CCHW
- Community Health Worker
- Madison Heights, MI
National Provider Identifier
1144045667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 30150 Palmer Blvd
Madison Heights, MI 48071-1826 - Phone
- (313) 454-6051
- NPI assigned
- Nov 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | MI | Primary |
Addresses
Primary practice location
30150 Palmer Blvd
Madison Heights, MI 48071-1826
Mailing address
30150 Palmer Blvd
Madison Heights, MI 48071-1826
Phone (313) 454-6051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Springs Residential Care | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Madison HTS, MI
- NPI 1164366688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1144045667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30150 PALMER BLVD",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480711826",
"telephone_number": "313-454-6051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30150 PALMER BLVD",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480711826",
"telephone_number": "313-454-6051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "SHERRIA",
"middle_name": "E",
"credential": "CCHW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-19",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.