Healthcare Provider Details

I. General information

NPI: 1457228231
Provider Name (Legal Business Name): PES CASE MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2025
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1063 4 MILE RD NW STE 200
GRAND RAPIDS MI
49544-7398
US

IV. Provider business mailing address

1063 4 MILE RD NW STE 200
GRAND RAPIDS MI
49544-7398
US

V. Phone/Fax

Practice location:
  • Phone: 616-330-1435
  • Fax:
Mailing address:
  • Phone: 616-330-1435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: AMY MARIE VERSTRAETE
Title or Position: DIRECTOR OF OPERATION
Credential:
Phone: 616-330-1435