1144309584 NPI number — APEX HOMECARE, INC.

Table of content: MICHAEL R. GUEST CRNA (NPI 1649357187)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144309584 NPI number — APEX HOMECARE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
APEX HOMECARE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
APEX HOMECARE INC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144309584
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/09/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
610 N. O'CONNOR RD.
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
IRVING
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75061
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-602-0896
Provider Business Mailing Address Fax Number:
972-602-1084

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
610 N. O'CONNOR RD.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
IRVING
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75061
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-602-0896
Provider Business Practice Location Address Fax Number:
972-602-1084
Provider Enumeration Date:
11/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PORTER
Authorized Official First Name:
ANJUANETTE
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
972-602-0896

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  011134 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X , with the licence number: 017729 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 201662801 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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