Provider Demographics
NPI:1972191450
Name:APEX HOME CARE LLC
Entity Type:Organization
Organization Name:APEX HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:CASC
Authorized Official - Phone:734-673-5917
Mailing Address - Street 1:39880 VAN DYKE AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313-4670
Mailing Address - Country:US
Mailing Address - Phone:734-673-5917
Mailing Address - Fax:314-667-6915
Practice Address - Street 1:39880 VAN DYKE AVE STE 201
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48313-4670
Practice Address - Country:US
Practice Address - Phone:734-673-5917
Practice Address - Fax:314-667-6915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-09
Last Update Date:2021-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health