Healthcare Provider Details

I. General information

NPI: 1134358807
Provider Name (Legal Business Name): APL CARE AGENCY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2009
Last Update Date: 07/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25612 BARTON RD STE 321
LOMA LINDA CA
92354-3110
US

IV. Provider business mailing address

25612 BARTON RD STE 321
LOMA LINDA CA
92354-3110
US

V. Phone/Fax

Practice location:
  • Phone: 909-796-3235
  • Fax: 909-883-7151
Mailing address:
  • Phone: 901-979-6353
  • Fax: 909-883-7151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: AUGUSTINE LOPEZ
Title or Position: PRESIDENT
Credential:
Phone: 909-796-3532