MEDICARE: APPLEN HOME 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	163WH0200X	Home Health Registered Nurse

General Provider Information

NPI Number	:	1073496345
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APPLEN HOME CARE

Provider Business Mailing Address
First Line	:	440 123RD AVE NW
Second Line	:
City	:	COON RAPIDS
State	:	MN
Zip	:	55448-2613
Country	:	US
Telephone Number	:	612-246-2596
Fax Number	:

Provider Business Practice Location Address
First Line	:	440 123RD AVE NW
Second Line	:
City	:	COON RAPIDS
State	:	MN
Zip	:	55448-2613
Country	:	US
Telephone Number	:	612-246-2596
Fax Number	:

Authorized Official
Title or Position	:	RN
Name	:	JACKLINE MACHOKA
Credential	:
Telephone Number	:	612-246-2596

Provider Enumeration Date	:	07/25/2025
Last Update Date	:	07/25/2025

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Directions to “APPLEN HOME CARE ” Practice Location

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