Provider Demographics
NPI:1588934020
Name:APEX K HOMECARE INC.
Entity type:Organization
Organization Name:APEX K HOMECARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHNSON
Authorized Official - Middle Name:
Authorized Official - Last Name:KARUE
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:774-243-1179
Mailing Address - Street 1:65 SOUTHBRIDGE ST
Mailing Address - Street 2:SUITE 220
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-2566
Mailing Address - Country:US
Mailing Address - Phone:774-243-1179
Mailing Address - Fax:774-243-1189
Practice Address - Street 1:65 SOUTHBRIDGE ST
Practice Address - Street 2:SUITE 220
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-2566
Practice Address - Country:US
Practice Address - Phone:774-243-1179
Practice Address - Fax:774-243-1189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-30
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health