Provider Demographics
NPI:1427567403
Name:APEX HOMECARE ADVANTAGE INC.
Entity Type:Organization
Organization Name:APEX HOMECARE ADVANTAGE INC.
Other - Org Name:COMFORCARE HOME CARE CHESTER COUNTY NORTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:GRIFFITH
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-417-0913
Mailing Address - Street 1:33 DOWNING CIR
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-3375
Mailing Address - Country:US
Mailing Address - Phone:610-417-0913
Mailing Address - Fax:
Practice Address - Street 1:47 MARCHWOOD RD STE 1-G
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-1836
Practice Address - Country:US
Practice Address - Phone:610-363-1485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-22
Last Update Date:2017-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA10763601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102652638Medicaid
PA10763601OtherPENNSYLVANIA DEPARTMENT OF HEALTH LICENSE