Apple Renal Care LLC

Primary specialty

Hemodialysis Registered NurseTaxonomy code 163WH0500X

License

846625 Issued in TX

Legal business name

APPLE RENAL CARE LLC

Practice address

5784 Jillian Way
Grand Prairie, TX 75052

Phone

(817) 449-7705

NPI assigned

Mar 29, 2018

Last updated

Mar 29, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Josephat Omweno Kirochi, RNNPI 1841701265

Title

Owner

Phone

(817) 449-7705

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Josephat Omweno Kirochi, RN

  • Hemodialysis Registered Nurse
  • Grand Prairie, TX
  • NPI 1841701265
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1427553510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5784 JILLIAN WAY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750520418",
            "telephone_number": "817-449-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5784 JILLIAN WAY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75052",
            "telephone_number": "817-449-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE RENAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "KIROCHI",
        "authorized_official_first_name": "JOSEPHAT",
        "authorized_official_middle_name": "OMWENO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-449-7705",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hemodialysis",
            "state": "TX",
            "license": "846625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.