Healthcare Provider Details

I. General information

NPI: 1811432180
Provider Name (Legal Business Name): APOLLO MEDICAL HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2016
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 CRAIG RD STE 340
SAINT LOUIS MO
63141-7171
US

IV. Provider business mailing address

655 CRAIG RD STE 340
SAINT LOUIS MO
63141-7171
US

V. Phone/Fax

Practice location:
  • Phone: 618-407-0807
  • Fax: 618-882-6115
Mailing address:
  • Phone: 314-692-0611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JASON GROWE
Title or Position: CEO
Credential:
Phone: 314-440-3453