Provider Demographics
NPI:1730279084
Name:APOLLO HOME CARE, INC.
Entity Type:Organization
Organization Name:APOLLO HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHEL
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-234-8582
Mailing Address - Street 1:2659 W GUADALUPE RD.
Mailing Address - Street 2:SUITE C-119
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202
Mailing Address - Country:US
Mailing Address - Phone:480-234-8582
Mailing Address - Fax:480-897-9712
Practice Address - Street 1:2659 W GUADALUPE RD.
Practice Address - Street 2:SUITE C-119
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202
Practice Address - Country:US
Practice Address - Phone:480-234-8582
Practice Address - Fax:480-897-9712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHHA4035251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health