Provider Demographics
NPI:1114511482
Name:BLUE APPRON HOSPICE , INC
Entity Type:Organization
Organization Name:BLUE APPRON HOSPICE , INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ADWOA SERWA
Authorized Official - Middle Name:OSEI
Authorized Official - Last Name:NYARKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-313-9592
Mailing Address - Street 1:6400 E WASHINGTON BLVD. SUIT 108A
Mailing Address - Street 2:
Mailing Address - City:COMMERCE
Mailing Address - State:CA
Mailing Address - Zip Code:90040
Mailing Address - Country:US
Mailing Address - Phone:661-313-9592
Mailing Address - Fax:
Practice Address - Street 1:6400 E WASHINGTON BLVD. SUIT 108A
Practice Address - Street 2:
Practice Address - City:COMMERCE
Practice Address - State:CA
Practice Address - Zip Code:90040
Practice Address - Country:US
Practice Address - Phone:661-313-9592
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-26
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies