Healthcare Provider Details

I. General information

NPI: 1396360004
Provider Name (Legal Business Name): APEX HUMAN SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2020
Last Update Date: 07/16/2020
Certification Date: 07/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 MACDADE BLVD
YEADON PA
19050-3835
US

IV. Provider business mailing address

204 MACDADE BLVD
YEADON PA
19050-3835
US

V. Phone/Fax

Practice location:
  • Phone: 484-469-3787
  • Fax: 267-243-3279
Mailing address:
  • Phone: 484-469-3787
  • Fax: 267-243-3279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MOHAMED MAJID KAMARA
Title or Position: DIRECTOR
Credential:
Phone: 484-469-3787