Provider Demographics
NPI:1629468483
Name:APPL ORCHARD II, INC.
Entity Type:Organization
Organization Name:APPL ORCHARD II, INC.
Other - Org Name:CARONDELET HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:APPL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-299-7100
Mailing Address - Street 1:7732 HEDGE LANE TER
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66227-3017
Mailing Address - Country:US
Mailing Address - Phone:913-299-7100
Mailing Address - Fax:913-299-7102
Practice Address - Street 1:7732 HEDGE LANE TER
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66227-3017
Practice Address - Country:US
Practice Address - Phone:913-299-7100
Practice Address - Fax:913-299-7102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-02
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO22928HH251E00000X
KSA-046-022251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO580624500Medicaid
MO177183Medicare Oscar/Certification