Healthcare Provider Details
I. General information
NPI: 1346948619
Provider Name (Legal Business Name): PEREZ HEALTH CARE GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/16/2023
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2751 ENTERPRISE RD STE 113
ORANGE CITY FL
32763-8257
US
IV. Provider business mailing address
1750 S VOLUSIA AVE STE 7
ORANGE CITY FL
32763-7344
US
V. Phone/Fax
- Phone: 866-792-7812
- Fax: 386-218-6134
- Phone: 866-792-7812
- Fax: 386-218-6134
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAYEYSI
PEREZ
Title or Position: CEO
Credential:
Phone: 239-204-5295