Healthcare Provider Details

I. General information

NPI: 1326619537
Provider Name (Legal Business Name): PEREZ HEALTH CARE GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2021
Last Update Date: 07/09/2021
Certification Date: 07/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 LEE BLVD
LEHIGH ACRES FL
33936-4823
US

IV. Provider business mailing address

1130 LEE BLVD
LEHIGH ACRES FL
33936-4823
US

V. Phone/Fax

Practice location:
  • Phone: 866-792-7812
  • Fax: 386-218-6134
Mailing address:
  • Phone: 239-204-5295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: DAYEYSI PEREZ
Title or Position: PRESIDENT
Credential:
Phone: 398-887-2096