Provider Demographics
NPI:1659379055
Name:APPLE HOME HEALTHCARE, INC
Entity Type:Organization
Organization Name:APPLE HOME HEALTHCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NOLI
Authorized Official - Middle Name:C
Authorized Official - Last Name:RAZALAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-933-5196
Mailing Address - Street 1:5858 S PECOS RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-5404
Mailing Address - Country:US
Mailing Address - Phone:702-933-5196
Mailing Address - Fax:702-933-5198
Practice Address - Street 1:5858 S PECOS RD STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-5404
Practice Address - Country:US
Practice Address - Phone:702-933-5196
Practice Address - Fax:702-933-5198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3898HHA-3251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV297111Medicare ID - Type UnspecifiedHOME HEALTHCARE