Provider Demographics
NPI:1396127247
Name:APICON PERSONAL CARE ASSISTANT AND COMMUNITY CARE SERVICES INC.
Entity type:Organization
Organization Name:APICON PERSONAL CARE ASSISTANT AND COMMUNITY CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:OBILOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-740-7466
Mailing Address - Street 1:1850 ROUND ROCK AVENUE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681
Mailing Address - Country:US
Mailing Address - Phone:512-740-7466
Mailing Address - Fax:512-249-0892
Practice Address - Street 1:1850 ROUND ROCK AVENUE
Practice Address - Street 2:SUITE 6
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681
Practice Address - Country:US
Practice Address - Phone:512-740-7466
Practice Address - Fax:512-249-0892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization