1073553749 NPI number — APEX HOME HEALTH, L.L.C.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073553749 NPI number — APEX HOME HEALTH, L.L.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
APEX HOME HEALTH, L.L.C.
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:
Provider Other Organization Name Type Code:
6
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:
1073553749
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/20/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1402 S MAGNOLIA ST STE I&J
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HAMMOND
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70403-5020
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
985-662-0552
Provider Business Mailing Address Fax Number:
985-467-5704

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
68425 HIGHWAY 59
Provider Second Line Business Practice Location Address:
SUITE #7
Provider Business Practice Location Address City Name:
MANDEVILLE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70471-7753
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
985-288-0034
Provider Business Practice Location Address Fax Number:
985-288-5629
Provider Enumeration Date:
06/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
WHITMAN
Authorized Official First Name:
MARCEL
Authorized Official Middle Name:
EMILE
Authorized Official Title or Position:
ADMIN
Authorized Official Telephone Number:
985-710-9955

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  961 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: SB670 . This is a "BCBS LA" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: 1403237 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




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