MEDICARE: APG HOMECARE INC.

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	011344	OTHER	TX	DADS LICENSE NUMBER

General Provider Information

NPI Number	:	1508064395
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APG HOMECARE INC.

Provider Business Mailing Address
First Line	:	2802 SE LOOP 820
Second Line	:	BLDG 5
City	:	FORT WORTH
State	:	TX
Zip	:	76140-1012
Country	:	US
Telephone Number	:	817-744-7690
Fax Number	:	817-744-7692

Provider Business Practice Location Address
First Line	:	2802 SE LOOP 820
Second Line	:	BLDG 5
City	:	FORT WORTH
State	:	TX
Zip	:	76140-1012
Country	:	US
Telephone Number	:	817-744-7690
Fax Number	:	817-744-7692

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. AARIC M COMBEST
Credential	:
Telephone Number	:	817-744-7690

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	10/31/2014

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Directions to “APG HOMECARE INC. ” Practice Location

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