Healthcare Provider Details

I. General information

NPI: 1801275599
Provider Name (Legal Business Name): APEX HEALTHCARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2015
Last Update Date: 06/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3310 MARKET STREET SUITE B, SECOND FLOOR
CAMP HILL PA
17011-4460
US

IV. Provider business mailing address

3310 MARKET STREET SUITE B, SECOND FLOOR
CAMP HILL PA
17011-4460
US

V. Phone/Fax

Practice location:
  • Phone: 717-412-4154
  • Fax: 717-409-8635
Mailing address:
  • Phone: 717-412-4154
  • Fax: 717-409-8635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number28753601
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberA-6418069
License Number StatePA

VIII. Authorized Official

Name: OLUFEMI OGUNNAIKE
Title or Position: ADMINISTRATOR/CEO
Credential: RN
Phone: 717-412-4154