| Apex Community Care, Inc | |
|
16 Hospital Ave Danbury CT 06810-5927 | |
| (203) 778-2437 | |
| Not Available |
| Full Name | Apex Community Care, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 16 Hospital Ave, Danbury, Connecticut |
| Authorized Official Name and Position | Roberta Stewart (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2037782437 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apex Community Care, Inc 30 West St Danbury CT 06810-7842 Ph: (203) 778-2437 | Apex Community Care, Inc 16 Hospital Ave Danbury CT 06810-5927 Ph: (203) 778-2437 |
| NPI Number | 1982037602 |
|---|---|
| Provider Enumeration Date | 08/16/2013 |
| Last Update Date | 01/26/2022 |
| Certification Date | 01/26/2022 |
| Medicare PECOS PAC ID | 4688094063 |
|---|---|
| Medicare Enrollment ID | O20201023002263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982037602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | 0520 (Connecticut) | Primary |
| Provider Name | Jose L Latorre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790785640 PECOS PAC ID: 8527954478 Enrollment ID: I20040226000461 |
| Provider Name | Svetlana Tikhomirova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689631467 PECOS PAC ID: 4183748999 Enrollment ID: I20100831000955 |
| Provider Name | Heather K Mazarakos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083989628 PECOS PAC ID: 2668613803 Enrollment ID: I20130730000820 |
| Provider Name | Margaret M Trussler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619958196 PECOS PAC ID: 5496949307 Enrollment ID: I20180307000505 |
| Provider Name | Naomi Alper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023425097 PECOS PAC ID: 4183995970 Enrollment ID: I20201209000868 |
| Provider Name | Kathryn Defiore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740707025 PECOS PAC ID: 3870964398 Enrollment ID: I20230120000935 |
| Provider Name | Audra Blood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992299036 PECOS PAC ID: 4385056274 Enrollment ID: I20231127002129 |
| Provider Name | Joanne Elizabeth Powell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326657347 PECOS PAC ID: 7517319247 Enrollment ID: I20240214000491 |
| Provider Name | Hannah M Goodman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811756067 PECOS PAC ID: 6608216205 Enrollment ID: I20240430002127 |
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