Provider Demographics
NPI:1063759942
Name:APEX HEALTHCARE SERVICES, LLC.
Entity type:Organization
Organization Name:APEX HEALTHCARE SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:IYON
Authorized Official - Middle Name:DEBBIE
Authorized Official - Last Name:AKHIMIEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:704-396-6602
Mailing Address - Street 1:703 S MARIETTA ST
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28052-4337
Mailing Address - Country:US
Mailing Address - Phone:704-396-6602
Mailing Address - Fax:704-396-6615
Practice Address - Street 1:703 S MARIETTA ST
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28052-4337
Practice Address - Country:US
Practice Address - Phone:
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-11
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4007251E00000X, 251F00000X, 251J00000X, 253Z00000X, 251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCHC4007Medicaid
NC6601980Medicaid