Healthcare Provider Details

I. General information

NPI: 1356188544
Provider Name (Legal Business Name): APEX HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2024
Last Update Date: 07/31/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 WILSON BLVD FL 7
ARLINGTON VA
22209-2464
US

IV. Provider business mailing address

1550 WILSON BLVD FL 7
ARLINGTON VA
22209-2464
US

V. Phone/Fax

Practice location:
  • Phone: 703-956-0964
  • Fax:
Mailing address:
  • Phone: 703-956-0964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name: ABDIRAHIIM YASIN
Title or Position: ADMINISTRATOR
Credential:
Phone: 703-956-0964