Provider Demographics
NPI:1780120790
Name:APEX HOME CARE, LLC
Entity type:Organization
Organization Name:APEX HOME CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ASA
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:SHUEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-448-3350
Mailing Address - Street 1:3450 N ROCK RD
Mailing Address - Street 2:STE 603-B
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-1327
Mailing Address - Country:US
Mailing Address - Phone:316-448-3350
Mailing Address - Fax:
Practice Address - Street 1:3450 N ROCK RD
Practice Address - Street 2:STE 603-B
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67226-1327
Practice Address - Country:US
Practice Address - Phone:316-448-3350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-13
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSA-087-169251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health