MEDICARE: APOGEE HOMES

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	3104A0625X	Assisted Living Facility (Mental Illness)	MHL068110	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740485408
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APOGEE HOMES

Provider Business Mailing Address
First Line	:	4337 WHITE LEVEL RD
Second Line	:
City	:	MEBANE
State	:	NC
Zip	:	27302-9054
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9407 WADES DEAD END RD
Second Line	:
City	:	CEDAR GROVE
State	:	NC
Zip	:	27231-9728
Country	:	US
Telephone Number	:	919-563-2398
Fax Number	:	919-563-6667

Authorized Official
Title or Position	:	DIRECTOR
Name	:	RENEE STEWART
Credential	:
Telephone Number	:	919-563-2398

Provider Enumeration Date	:	06/20/2007
Last Update Date	:	08/28/2007

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Directions to “APOGEE HOMES ” Practice Location

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