MEDICARE: APONG HOME CARE 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1700611712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APONG HOME CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	1211 TECH BLVD STE 147
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-7845
Country	:	US
Telephone Number	:	678-717-7237
Fax Number	:

Provider Business Practice Location Address
First Line	:	1211 TECH BLVD STE 147
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-7845
Country	:	US
Telephone Number	:	678-717-7237
Fax Number	:

Authorized Official
Title or Position	:	OWNER, PRESIDENT
Name	:	JOSEPH TAKAM
Credential	:
Telephone Number	:	678-717-7237

Provider Enumeration Date	:	09/09/2024
Last Update Date	:	10/21/2024

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