Basic Information
| Provider Information | |||||||||
| NPI: | 1740377266 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | APPLE HOME HEALTHCARE, LTD | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | APPLE HOME HEALTHCARE | ||||||||
| OtherOrganizationType: | 5 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3021 LORNA RD STE 200 | ||||||||
| Address2: | |||||||||
| City: | HOOVER | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352164500 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2057256236 | ||||||||
| FaxNumber: | 2053796720 | ||||||||
| Practice Location | |||||||||
| Address1: | 411 S WELLS ST FL 12 | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606073906 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7738718700 | ||||||||
| FaxNumber: | 7738710185 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/06/2006 | ||||||||
| LastUpdateDate: | 11/03/2022 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | BICKHAM | ||||||||
| AuthorizedOfficialFirstName: | BRAD | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT & COO | ||||||||
| AuthorizedOfficialTelephone: | 2057256236 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | 11/03/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | 1006527 | IL | Y | Agencies | Home Health |
No ID Information.