MEDICARE: PEREZ PRIVATE CAREGIVING 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	376J00000X	Homemaker

General Provider Information

NPI Number	:	1285577650
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEREZ PRIVATE CAREGIVING SERVICES LLC

Provider Business Mailing Address
First Line	:	4519 EDEN ROCK RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-7319
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4519 EDEN ROCK RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-7319
Country	:	US
Telephone Number	:	813-526-8006
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANGIE PEREZ QUEZADA
Credential	:
Telephone Number	:	813-526-8006

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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