Provider Demographics
NPI:1619754306
Name:NEW APPLE CARE
Entity Type:Organization
Organization Name:NEW APPLE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:IDIAT
Authorized Official - Middle Name:ADERONKE
Authorized Official - Last Name:AKINGBADE
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:612-203-6147
Mailing Address - Street 1:7211 JEWEL LN N
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55311-4560
Mailing Address - Country:US
Mailing Address - Phone:612-203-6147
Mailing Address - Fax:
Practice Address - Street 1:7211 JEWEL LN N
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55311-4560
Practice Address - Country:US
Practice Address - Phone:612-203-6147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care