Organization Active NPI

Apple Healthcare, Inc.

  • Home Health Agency
  • Rancho Cucamonga, CA
National Provider Identifier
1548548571
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
APPLE HEALTHCARE, INC.
Practice address
10722 Arrow Rte Ste 814a
Rancho Cucamonga, CA 91730-4843
Phone
(909) 527-4690
Fax
(909) 527-3352
NPI assigned
Jul 25, 2011
Last updated
Aug 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Jocelyn Siupan CedroNPI 1073214235
Title
Ceo
Phone
(818) 606-0789

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

10722 Arrow Rte Ste 814a
Rancho Cucamonga, CA 91730-4843

Mailing address

10722 Arrow Rte Ste 814a
Rancho Cucamonga, CA 91730-4843
Phone (909) 527-4690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110926000087 CA Part A Provider - Home Health Agency 3779754601 Practice locations: Rancho Cucamonga, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548548571. Details of each certification follow.

Home health agency certification: CCN 059469

Legal name
APPLE HEALTHCARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 26, 2012
Last certification
Oct 11, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 31, 2011 in CA
Enrollment address
10722 Arrow Rte
Ste 814a
Rancho Cucamonga, CA 91730-4843

Care Compare: Home health agency

Medicare Care Compare
Listed as
Apple Healthcare IncCCN 059469 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Nov 26, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

13849 Amargosa Rd
Ste 201
Victorville, CA 92392
Phone (760) 261-4420

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jocelyn S Cedro Individual 5% Or Greater Direct Ownership InterestAdministrator May 4, 2024 100%
Corporate Officer May 4, 2024 100%
W-2 Managing EmployeeAd; May 4, 2024 100%

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1548548571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10722 ARROW RTE STE 814A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304843",
            "telephone_number": "909-527-4690",
            "fax_number": "909-527-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10722 ARROW RTE STE 814A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304843",
            "telephone_number": "909-527-4690",
            "fax_number": "909-527-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "CEDRO",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_middle_name": "SIUPAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-606-0789"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.