- Enrollment id
- O20210421002272
- Enrollment state
- NV
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1902490253
- Multiple npi flag
- N
- Ccn
- 297321
- Associate id
- 3274941737
- Organization name
- APEX HOME HEALTH CARE INC
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 1641 E FLAMINGO RD
- Address line 2
- STE 9
- City
- LAS VEGAS
- State
- NV
- Zip code
- 891195257