Provider Demographics
NPI:1407123763
Name:APPLEBROOK CAREGIVERS, INC
Entity Type:Organization
Organization Name:APPLEBROOK CAREGIVERS, INC
Other - Org Name:APPLEBROOK CAREGIVERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELEANA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-814-8382
Mailing Address - Street 1:PO BOX 2491
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28590-2491
Mailing Address - Country:US
Mailing Address - Phone:252-814-8382
Mailing Address - Fax:
Practice Address - Street 1:485 MARLBORO DR
Practice Address - Street 2:
Practice Address - City:WINTERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28590-9409
Practice Address - Country:US
Practice Address - Phone:252-814-8382
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4435253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care