Healthcare Provider Details

I. General information

NPI: 1831607241
Provider Name (Legal Business Name): APEX SERVICE ALLIANCE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2018
Last Update Date: 08/20/2020
Certification Date: 08/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3611 SOCIALVILLE FOSTER RD STE 104
MASON OH
45040-7361
US

IV. Provider business mailing address

3611 SOCIALVILLE FOSTER RD STE 104
MASON OH
45040-7361
US

V. Phone/Fax

Practice location:
  • Phone: 513-234-0391
  • Fax: 513-234-0390
Mailing address:
  • Phone: 513-234-0391
  • Fax: 513-234-0390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome 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: MR. REGINALD DAVID KNIPES
Title or Position: PRESIDENT
Credential:
Phone: 513-234-0391