Provider Demographics
NPI:1073553749
Name:APEX HOME HEALTH, L.L.C.
Entity Type:Organization
Organization Name:APEX HOME HEALTH, L.L.C.
Other - Org Name:ULTRA HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:MARCEL
Authorized Official - Middle Name:EMILE
Authorized Official - Last Name:WHITMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-710-9955
Mailing Address - Street 1:1402 S MAGNOLIA ST STE I&J
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-5020
Mailing Address - Country:US
Mailing Address - Phone:985-662-0552
Mailing Address - Fax:985-467-5704
Practice Address - Street 1:68425 HIGHWAY 59
Practice Address - Street 2:SUITE #7
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-7753
Practice Address - Country:US
Practice Address - Phone:985-288-0034
Practice Address - Fax:985-288-5629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA961251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LASB670OtherBCBS LA
LA1403237Medicaid