Provider Demographics
NPI:1497538615
Name:APAP ENTERPRISE, LLC
Entity Type:Organization
Organization Name:APAP ENTERPRISE, LLC
Other - Org Name:RWINS ELDERLY'S HAVEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:DURAN
Authorized Official - Last Name:PERGANTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-398-9566
Mailing Address - Street 1:8500 LOCUST DR
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-4049
Mailing Address - Country:US
Mailing Address - Phone:714-398-9566
Mailing Address - Fax:
Practice Address - Street 1:4912 RED ROCK AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-2960
Practice Address - Country:US
Practice Address - Phone:714-398-9566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-14
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility