MEDICARE: APPLE RIDGE CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1053241349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APPLE RIDGE CARE

Provider Business Mailing Address
First Line	:	816 N 14TH ST APT 3
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53233-1735
Country	:	US
Telephone Number	:	989-860-5451
Fax Number	:

Provider Business Practice Location Address
First Line	:	816 N 14TH ST APT 3
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53233-1735
Country	:	US
Telephone Number	:	989-860-5451
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	JOE MOSKAL
Credential	:
Telephone Number	:	989-860-5451

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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Directions to “APPLE RIDGE CARE ” Practice Location

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