Provider Demographics
NPI:1598376170
Name:APOLLO HEALTHCARE, LLC
Entity Type:Organization
Organization Name:APOLLO HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ELISEO
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-906-2054
Mailing Address - Street 1:9045 GREEN MEADOWS WAY
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-5741
Mailing Address - Country:US
Mailing Address - Phone:561-906-2054
Mailing Address - Fax:
Practice Address - Street 1:9045 GREEN MEADOWS WAY
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-5741
Practice Address - Country:US
Practice Address - Phone:561-906-2054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-16
Last Update Date:2020-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty