Provider Demographics
NPI:1366449845
Name:RED APPLE HEALTHCARE
Entity Type:Organization
Organization Name:RED APPLE HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER/VP
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:FILTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-769-7777
Mailing Address - Street 1:1446 E 86TH PL
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-6342
Mailing Address - Country:US
Mailing Address - Phone:219-769-7777
Mailing Address - Fax:
Practice Address - Street 1:1446 E 86TH PL
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-6342
Practice Address - Country:US
Practice Address - Phone:219-769-7777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1301330001Medicare NSC