Provider Demographics
NPI:1912054180
Name:LAKRIS GROUP INC
Entity Type:Organization
Organization Name:LAKRIS GROUP INC
Other - Org Name:APEX HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:OKPALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-508-3333
Mailing Address - Street 1:3919 W SLAUSON AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90043-2936
Mailing Address - Country:US
Mailing Address - Phone:323-508-3333
Mailing Address - Fax:323-508-4555
Practice Address - Street 1:3919 W SLAUSON AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90043-2936
Practice Address - Country:US
Practice Address - Phone:323-508-3333
Practice Address - Fax:323-508-4555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA98000878251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA 57509GMedicaid
CA557509Medicare ID - Type UnspecifiedHOME HEALTH SERVICE