Provider Demographics
NPI:1285631143
Name:APEX MOBILITY PRODUCTS, LLC
Entity Type:Organization
Organization Name:APEX MOBILITY PRODUCTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RODDY
Authorized Official - Middle Name:FORD
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:859-873-5049
Mailing Address - Street 1:PO BOX 777
Mailing Address - Street 2:
Mailing Address - City:VERSAILLES
Mailing Address - State:KY
Mailing Address - Zip Code:40383-0777
Mailing Address - Country:US
Mailing Address - Phone:859-873-5049
Mailing Address - Fax:859-873-1226
Practice Address - Street 1:304 CROSSFIELD DR STE E
Practice Address - Street 2:
Practice Address - City:VERSAILLES
Practice Address - State:KY
Practice Address - Zip Code:40383-1597
Practice Address - Country:US
Practice Address - Phone:859-873-5049
Practice Address - Fax:859-873-1226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-06
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000318034OtherBLUE CROSS BLUE SHIELD
KY90006198Medicaid
KY90006198Medicaid