Provider Demographics
NPI:1336973676
Name:APEX CARE
Entity type:Organization
Organization Name:APEX CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIJAH
Authorized Official - Middle Name:O
Authorized Official - Last Name:IGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-546-8518
Mailing Address - Street 1:343 W ARQUILLA DR
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60425-1234
Mailing Address - Country:US
Mailing Address - Phone:773-546-8518
Mailing Address - Fax:
Practice Address - Street 1:343 W ARQUILLA DR
Practice Address - Street 2:
Practice Address - City:GLENWOOD
Practice Address - State:IL
Practice Address - Zip Code:60425-1234
Practice Address - Country:US
Practice Address - Phone:773-546-8518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities