1952327603 NPI number — APPLE HOMECARE ASSOCIATES, INC.

Table of content: (NPI 1952327603)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952327603 NPI number — APPLE HOMECARE ASSOCIATES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
APPLE HOMECARE ASSOCIATES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
APPLE HOMECARE OR APPLE HOMECARE ASSOCIATES
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952327603
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/12/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
41 REDEMPTION ROCK TRAIL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
STERLING
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01564
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-422-0000
Provider Business Mailing Address Fax Number:
978-422-2939

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
41 REDEMPTION ROCK TRAIL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STERLING
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01564
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-422-0000
Provider Business Practice Location Address Fax Number:
978-422-2939
Provider Enumeration Date:
07/14/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MILLUZZO
Authorized Official First Name:
JONI
Authorized Official Middle Name:
JANE
Authorized Official Title or Position:
CEO/PRESIDENT
Authorized Official Telephone Number:
978-422-0000

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 801753 . This is a "TUFTS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1533738 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 307154 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 707936 . This is a "HARVARD PILGRIM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 307154 . This is a "BC/BS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6298 . This is a "FALLON" identifier . This identifiers is of the category "OTHER".
  • Identifier: 701936 . This is a "HARVARD PILGRIM" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 98721501 . This is a "NETWORK HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 0028331 . This is a "NEIGHBORHOOD HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".