Provider Demographics
NPI:1750686515
Name:APEX HEALTHCARE SERVICES, LLC.
Entity Type:Organization
Organization Name:APEX HEALTHCARE SERVICES, LLC.
Other - Org Name:APEX HEALTHCARE SERVICES, LLC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:IYON
Authorized Official - Middle Name:DEBBIE
Authorized Official - Last Name:AKHIMIEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:704-396-6602
Mailing Address - Street 1:703 S MARIETTA ST
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28052-4337
Mailing Address - Country:US
Mailing Address - Phone:704-396-6602
Mailing Address - Fax:704-396-6615
Practice Address - Street 1:703 S MARIETTA ST
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28052-4337
Practice Address - Country:US
Practice Address - Phone:170-439-6660
Practice Address - Fax:704-396-6615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No252Y00000XAgenciesEarly Intervention Provider Agency
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3418797Medicaid
NCHC4007OtherDEPARTMENT OF HEALTH AND HUMAN SERVICE REGULATIONS
NCHC4007Medicaid