Provider Demographics
NPI:1740585298
Name:APEX HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:APEX HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HARI S
Authorized Official - Middle Name:
Authorized Official - Last Name:NAGIREDDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-652-1584
Mailing Address - Street 1:15393 ACKERLEY DR
Mailing Address - Street 2:
Mailing Address - City:FORTVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46040-1475
Mailing Address - Country:US
Mailing Address - Phone:317-652-1584
Mailing Address - Fax:317-683-9999
Practice Address - Street 1:15393 ACKERLEY DR
Practice Address - Street 2:
Practice Address - City:FORTVILLE
Practice Address - State:IN
Practice Address - Zip Code:46040-1475
Practice Address - Country:US
Practice Address - Phone:317-652-1584
Practice Address - Fax:317-683-9999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-13
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05008569A225100000X
IN05008789A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN255060OtherMEDICARE IDENTIFICATION NUMBER
IN263910OtherMEDICARE IDENTIFICATION NUMBER