Provider Demographics
NPI:1922251685
Name:APEX INTERNATIONAL INVESTMENT GROUP, CORP.
Entity Type:Organization
Organization Name:APEX INTERNATIONAL INVESTMENT GROUP, CORP.
Other - Org Name:NURSE PRO-CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:
Authorized Official - First Name:MARICHU
Authorized Official - Middle Name:A
Authorized Official - Last Name:PAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-933-9933
Mailing Address - Street 1:P.O. BOX 6625
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-6625
Mailing Address - Country:US
Mailing Address - Phone:808-933-9933
Mailing Address - Fax:
Practice Address - Street 1:305 WAILUKU DR STE 6
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2488
Practice Address - Country:US
Practice Address - Phone:808-933-9933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIW38075225-01253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI623662-01Medicaid