Provider Demographics
NPI:1508064395
Name:APG HOMECARE INC.
Entity Type:Organization
Organization Name:APG HOMECARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AARIC
Authorized Official - Middle Name:M
Authorized Official - Last Name:COMBEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-744-7690
Mailing Address - Street 1:2802 SE LOOP 820
Mailing Address - Street 2:BLDG 5
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76140-1012
Mailing Address - Country:US
Mailing Address - Phone:817-744-7690
Mailing Address - Fax:817-744-7692
Practice Address - Street 1:2802 SE LOOP 820
Practice Address - Street 2:BLDG 5
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76140-1012
Practice Address - Country:US
Practice Address - Phone:817-744-7690
Practice Address - Fax:817-744-7692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX011344OtherDADS LICENSE NUMBER