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NPI Code Detail

MEDICARE: PEREZ HOME CARE CORPORATION

MEDICARE: PEREZ HOME CARE CORPORATION
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
13104A0625XAssisted Living Facility (Mental Illness)5787FL
2310400000XAssisted Living Facility5787FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962616557
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEREZ HOME CARE CORPORATION
Provider Business Mailing Address
First Line : 21201 NE 13TH PL
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33179-1323
Country : US
Telephone Number : 305-652-8152
Fax Number :
Provider Business Practice Location Address
First Line : 21201 NE 13TH PL
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33179-1323
Country : US
Telephone Number : 305-652-8152
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : BLANCA PEREZ
Credential :
Telephone Number : 305-652-8152
Provider Enumeration Date : 05/10/2007
Last Update Date : 01/28/2012

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Directions to “PEREZ HOME CARE CORPORATION ” Practice Location

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