Provider Demographics
NPI:1588829915
Name:APEX PLUS HOME HEALTHCARE AGENCY
Entity type:Organization
Organization Name:APEX PLUS HOME HEALTHCARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:OLUMUYIWA
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINYODE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-323-4997
Mailing Address - Street 1:5867 LORENZO DR
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-8765
Mailing Address - Country:US
Mailing Address - Phone:682-323-4997
Mailing Address - Fax:
Practice Address - Street 1:5867 LORENZO DR
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-8765
Practice Address - Country:US
Practice Address - Phone:682-323-4997
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-24
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities