Organization Active NPI

Apollo Health Care, Inc.

  • Assisted Living Facility (Mental Illness)
  • Phoenix, AZ
National Provider Identifier
1235675737
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
BH5022 Issued in AZ
Legal business name
APOLLO HEALTH CARE, INC.
Practice address
2209 N Rascon Loop
Phoenix, AZ 85037-4357
Phone
(602) 909-9026
NPI assigned
Jan 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Carlos N. Jorge, MBA
Title
President-Ceo
Phone
(602) 909-9026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X BH5022 AZ Primary

Addresses

Primary practice location

2209 N Rascon Loop
Phoenix, AZ 85037-4357

Mailing address

2209 N Rascon Loop
Phoenix, AZ 85037-4357
Phone (602) 909-9026

Other identifiers 1

IdentifierTypeStateIssuer
BH5022OtherAZARIZONA DEPARTMENT OF HEALTH SERVICES

National Provider Directory

National Provider Directory
Tax ID family
Apollo Health Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1235675737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 N RASCON LOOP",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850374357",
            "telephone_number": "602-909-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 N RASCON LOOP",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850374357",
            "telephone_number": "602-909-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "JORGE",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT-CEO",
        "authorized_official_telephone_number": "602-909-9026",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "AZ",
            "license": "BH5022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA DEPARTMENT OF HEALTH SERVICES",
            "identifier": "BH5022",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.