Provider Demographics
NPI:1841229796
Name:APPELGATE TECHNICAL SERVICES, INC.
Entity Type:Organization
Organization Name:APPELGATE TECHNICAL SERVICES, INC.
Other - Org Name:VITALCARE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:APPELGATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-502-3665
Mailing Address - Street 1:3604 N 72ND ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68134-5104
Mailing Address - Country:US
Mailing Address - Phone:402-502-3665
Mailing Address - Fax:402-502-3666
Practice Address - Street 1:3604 N 72ND ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-5104
Practice Address - Country:US
Practice Address - Phone:402-502-3665
Practice Address - Fax:402-502-3666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE261599251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========00Medicaid
NE287114Medicare ID - Type Unspecified