MEDICARE: GOOD APPLE HOME HEALTH CARE SERVICES,INC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1780036194
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOOD APPLE HOME HEALTH CARE SERVICES,INC

Provider Business Mailing Address
First Line	:	PO BOX 6191
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76115-0191
Country	:	US
Telephone Number	:	800-431-3163
Fax Number	:

Provider Business Practice Location Address
First Line	:	2998 WESTVISTA CIR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76133-5793
Country	:	US
Telephone Number	:	800-431-3163
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/ CEO
Name	:	AMY TOLEDO ESTANDARTE
Credential	:
Telephone Number	:	818-306-6455

Provider Enumeration Date	:	07/09/2016
Last Update Date	:	07/09/2016

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