MEDICARE: APEX HOMECARE 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	:	1902286164
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APEX HOMECARE LLC

Provider Business Mailing Address
First Line	:	PO BOX 260623
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33685-0623
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1910 W DR MARTIN LUTHER KING JR BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6510
Country	:	US
Telephone Number	:	813-600-5400
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	GLENDA ARONG-GANZIE
Credential	:
Telephone Number	:	813-600-5400

Provider Enumeration Date	:	06/03/2015
Last Update Date	:	05/19/2016

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Directions to “APEX HOMECARE LLC ” Practice Location

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