Provider Demographics
NPI:1821873142
Name:APOLLO SENIOR CARE, LLC
Entity Type:Organization
Organization Name:APOLLO SENIOR CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:RYAN-GEIGER
Authorized Official - Suffix:
Authorized Official - Credentials:APNP-BC
Authorized Official - Phone:171-521-8959
Mailing Address - Street 1:219 ROSS AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:SCHOFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54476-6110
Mailing Address - Country:US
Mailing Address - Phone:715-298-1117
Mailing Address - Fax:715-227-8720
Practice Address - Street 1:219 ROSS AVE STE 106
Practice Address - Street 2:
Practice Address - City:SCHOFIELD
Practice Address - State:WI
Practice Address - Zip Code:54476-6110
Practice Address - Country:US
Practice Address - Phone:715-298-1117
Practice Address - Fax:715-227-8720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-25
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty