Provider Demographics
NPI:1356620090
Name:APEX HOSPICE AND PALLIATIVE CARE, INC.
Entity type:Organization
Organization Name:APEX HOSPICE AND PALLIATIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:MANNAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-601-1280
Mailing Address - Street 1:550 OAKMONT LN
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-3700
Mailing Address - Country:US
Mailing Address - Phone:630-601-1280
Mailing Address - Fax:630-601-1287
Practice Address - Street 1:510 OAKMONT LN
Practice Address - Street 2:
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-3700
Practice Address - Country:US
Practice Address - Phone:630-601-1280
Practice Address - Fax:630-601-1287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-11
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community Based
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid
IL=========001Medicaid