MEDICARE: GUIDING ANGELS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1417889916
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUIDING ANGELS LLC

Provider Business Mailing Address
First Line	:	48 HOLT RD
Second Line	:
City	:	HYDE PARK
State	:	NY
Zip	:	12538-1836
Country	:	US
Telephone Number	:	845-489-0621
Fax Number	:

Provider Business Practice Location Address
First Line	:	48 HOLT RD
Second Line	:
City	:	HYDE PARK
State	:	NY
Zip	:	12538-1836
Country	:	US
Telephone Number	:	845-489-0621
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANTOINETTE PEREZ
Credential	:
Telephone Number	:	845-489-0621

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/08/2026

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