Provider Demographics
NPI:1689702268
Name:APOLLO HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:APOLLO HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SWARUP
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:734-680-8655
Mailing Address - Street 1:28116 ORCHARD LAKE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3737
Mailing Address - Country:US
Mailing Address - Phone:734-680-8655
Mailing Address - Fax:734-680-8679
Practice Address - Street 1:28116 ORCHARD LAKE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3737
Practice Address - Country:US
Practice Address - Phone:734-680-8655
Practice Address - Fax:734-680-8679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
239063Medicare Oscar/Certification