Provider Demographics
NPI:1144754250
Name:APOLLO HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:APOLLO HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINNELL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ALLRED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-344-0989
Mailing Address - Street 1:1604 WALKER LAKE RD STE 8
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:OH
Mailing Address - Zip Code:44906-1416
Mailing Address - Country:US
Mailing Address - Phone:312-344-0989
Mailing Address - Fax:
Practice Address - Street 1:1604 WALKER LAKE RD STE 8
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:OH
Practice Address - Zip Code:44906-1416
Practice Address - Country:US
Practice Address - Phone:312-344-0989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-14
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH201708803300253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care