Healthcare Provider Details

I. General information

NPI: 1528103934
Provider Name (Legal Business Name): APPLE A DAY HOME HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 06/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 TYVOLA RD SUITE 304
CHARLOTTE NC
28217-3515
US

IV. Provider business mailing address

PO BOX 550906
GASTONIA NC
28055-0906
US

V. Phone/Fax

Practice location:
  • Phone: 704-605-8825
  • Fax:
Mailing address:
  • Phone: 704-605-8825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3140N1450X
TaxonomyPediatric Skilled Nursing Facility
License Number3140N1450X
License Number StateNC

VIII. Authorized Official

Name: MS. TONYA ANNETTE TAYLOR
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 704-605-8825