Healthcare Provider Details
I. General information
NPI: 1497634315
Provider Name (Legal Business Name): APEXCARE AT HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/27/2025
Last Update Date: 08/27/2025
Certification Date: 08/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4880 SW 5TH ST APT 2300
LINCOLN NE
68523-9448
US
IV. Provider business mailing address
4880 SW 5TH ST APT 2300
LINCOLN NE
68523-9448
US
V. Phone/Fax
- Phone: 402-805-0095
- 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:
FAHAD
SHARAF
NAIF
Title or Position: HELP DESK /DATA ENTRY CLERK
Credential:
Phone: 402-805-0095