MEDICARE: BKD PERSONAL ASSISTANCE SERVICES 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1861350340
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BKD PERSONAL ASSISTANCE SERVICES LLC

Provider Business Mailing Address
First Line	:	123 FOUNTAIN CT
Second Line	:
City	:	LONGWOOD
State	:	FL
Zip	:	32750-4922
Country	:	US
Telephone Number	:	407-767-1600
Fax Number	:

Provider Business Practice Location Address
First Line	:	123 FOUNTAIN CT
Second Line	:
City	:	LONGWOOD
State	:	FL
Zip	:	32750-4922
Country	:	US
Telephone Number	:	407-767-1600
Fax Number	:

Authorized Official
Title or Position	:	ASSISTANT SECRETARY
Name	:	ANNA MUNOZ
Credential	:
Telephone Number	:	414-918-5443

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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