Healthcare Provider Details

I. General information

NPI: 1508792920
Provider Name (Legal Business Name): APEX RESIDENTIAL & NURSING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1218 RYANWOOD CT
MIDLOTHIAN VA
23113-4302
US

IV. Provider business mailing address

1218 RYANWOOD CT
MIDLOTHIAN VA
23113-4302
US

V. Phone/Fax

Practice location:
  • Phone: 804-928-8788
  • Fax: 804-928-8788
Mailing address:
  • Phone: 804-928-8788
  • Fax: 804-928-8788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SHELLIE T MASON
Title or Position: OWNER
Credential: LPN
Phone: 804-928-8788