Provider Demographics
NPI:1780028399
Name:APB HOME HEALTH, LLC
Entity type:Organization
Organization Name:APB HOME HEALTH, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER / BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAKISHA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:BREWINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-442-9087
Mailing Address - Street 1:PO BOX 4866
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28406-1866
Mailing Address - Country:US
Mailing Address - Phone:919-963-2428
Mailing Address - Fax:919-963-2438
Practice Address - Street 1:2504 RAEFORD RD STE 106
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28305-5135
Practice Address - Country:US
Practice Address - Phone:919-963-2428
Practice Address - Fax:919-963-2438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-25
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3419244Medicaid