Provider Demographics
NPI:1801275599
Name:APEX HEALTHCARE SERVICES, LLC
Entity type:Organization
Organization Name:APEX HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:OLUFEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:OGUNNAIKE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:717-412-4154
Mailing Address - Street 1:3310 MARKET STREET
Mailing Address - Street 2:SUITE B, SECOND FLOOR
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-4460
Mailing Address - Country:US
Mailing Address - Phone:717-412-4154
Mailing Address - Fax:717-409-8635
Practice Address - Street 1:3310 MARKET STREET
Practice Address - Street 2:SUITE B, SECOND FLOOR
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4460
Practice Address - Country:US
Practice Address - Phone:717-412-4154
Practice Address - Fax:717-409-8635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-27
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAA-6418069343900000X
PA28753601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102986580Medicaid
PA28753601OtherDEPARTMENT OF HEALTH
PAA-6418069OtherPUC