Provider Demographics
NPI:1700428455
Name:PERCEPTIVE CARE, INC.
Entity Type:Organization
Organization Name:PERCEPTIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ACCOUNTING
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WELKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-229-0427
Mailing Address - Street 1:61 SHELDON AVE SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-4227
Mailing Address - Country:US
Mailing Address - Phone:616-229-0427
Mailing Address - Fax:
Practice Address - Street 1:1015 28TH ST SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49508-1309
Practice Address - Country:US
Practice Address - Phone:616-259-7172
Practice Address - Fax:616-930-3710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-15
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care