Healthcare Provider Details
I. General information
NPI: 1760569768
Provider Name (Legal Business Name): APPLE-A-DAY HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/01/2006
Last Update Date: 06/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
405 MADISON AVE SUITE 1460
TOLEDO OH
43604-1211
US
IV. Provider business mailing address
3450 W CENTRAL AVE SUITE 320
TOLEDO OH
43606-1416
US
V. Phone/Fax
- Phone: 419-242-7753
- Fax: 419-254-9655
- Phone: 419-242-7753
- Fax: 419-254-9655
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
PATRICIA
A
PARKER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 419-242-7753