Provider Demographics
NPI:1548548571
Name:APPLE HEALTHCARE, INC.
Entity type:Organization
Organization Name:APPLE HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOCELYN
Authorized Official - Middle Name:SIUPAN
Authorized Official - Last Name:CEDRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-606-0789
Mailing Address - Street 1:10722 ARROW RTE STE 814A
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-4843
Mailing Address - Country:US
Mailing Address - Phone:909-527-4690
Mailing Address - Fax:909-527-3352
Practice Address - Street 1:10722 ARROW RTE STE 814A
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-4843
Practice Address - Country:US
Practice Address - Phone:909-527-4690
Practice Address - Fax:909-527-3352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-25
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health