Healthcare Provider Details
I. General information
NPI: 1437533296
Provider Name (Legal Business Name): APEX HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/11/2015
Last Update Date: 06/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4950 HAMILTON AVE SUITE 208
SAN JOSE CA
95130-1750
US
IV. Provider business mailing address
2120 ROSSWOOD DR
SAN JOSE CA
95124-5427
US
V. Phone/Fax
- Phone: 925-922-3525
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SONAL
HARMOHANLAL
DUBEY
Title or Position: MANAGING MEMBER
Credential: OT
Phone: 925-922-3525