Provider Demographics
NPI:1285963892
Name:APOLLO HOME CARE, INC.
Entity type:Organization
Organization Name:APOLLO HOME CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:AIUTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-564-3455
Mailing Address - Street 1:30020 SCHOENHERR RD STE B
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088-3100
Mailing Address - Country:US
Mailing Address - Phone:877-564-3455
Mailing Address - Fax:586-838-1227
Practice Address - Street 1:30020 SCHOENHERR RD STE B
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-3100
Practice Address - Country:US
Practice Address - Phone:877-564-3455
Practice Address - Fax:586-838-1227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-09
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health