Healthcare Provider Details

I. General information

NPI: 1699517318
Provider Name (Legal Business Name): PERECT PACE HOMECARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2024
Last Update Date: 06/12/2024
Certification Date: 06/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

904 ROCK HARBOR AVE
ORLANDO FL
32828-6826
US

IV. Provider business mailing address

12472 LAKE UNDERHILL RD STE 432
ORLANDO FL
32828-7144
US

V. Phone/Fax

Practice location:
  • Phone: 407-619-6438
  • Fax:
Mailing address:
  • Phone: 407-619-6438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State

VIII. Authorized Official

Name: DAVID BARROWS
Title or Position: OWNER, PT
Credential: PT, DPT
Phone: 407-619-6438