MEDICARE: APEX HEALTHCARE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1437533296
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APEX HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	2120 ROSSWOOD DR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95124-5427
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4950 HAMILTON AVE
Second Line	:	SUITE 208
City	:	SAN JOSE
State	:	CA
Zip	:	95130-1750
Country	:	US
Telephone Number	:	925-922-3525
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	SONAL HARMOHANLAL DUBEY
Credential	:	OT
Telephone Number	:	925-922-3525

Provider Enumeration Date	:	07/11/2015
Last Update Date	:	06/01/2017

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