Apollo Health Care, Inc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

BH3989 Issued in AZ

Legal business name

APOLLO HEALTH CARE, INC.

Practice address

8322 W Oregon Ave
Glendale, AZ 85305-3302

Phone

(623) 877-0055

Fax

(623) 877-1155

NPI assigned

Mar 19, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Carlos Nelson Jorge, MBA

Title

President-Ceo

Phone

(602) 909-9026

Specialties & licenses 1

Addresses

Other names 1

• Apollo Residential Program Other name

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.

• Apollo Health Care, Inc.

  • Assisted Living Facility (Mental Illness)
  • Phoenix, AZ
  • NPI 1235675737
  NPD tax ID

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1841565256",
    "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": "623-907-4678",
            "fax_number": "623-877-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8322 W OREGON AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053302",
            "telephone_number": "623-877-0055",
            "fax_number": "623-877-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "JORGE",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "NELSON",
        "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": "BH3989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apollo Residential Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Apex Physical Therapy LLC (Apex Physical Therapy)
• Apex Physsical Therapy
• Apex-Care Health, Inc.
• Api Acquisition Corporation (Arizona Pain Institute)
• Maria Josefa Apigo, M.D.
• Apollo Ral LLC
• Apollo Residential Assisted Living, LLC
• Applied Abc Arizona Inc
• Christina Aquino
• Hayley Aragon

• Assisted Living Facility (Mental Illness) in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Assisted Living Facility (Mental Illness) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.