Organization Active NPI

Applecare Home Health Serv Inc

  • Pharmacist
  • Plano, TX
National Provider Identifier
1922182351
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
36310 Issued in TX
Legal business name
APPLECARE HOME HEALTH SERV INC
Practice address
1141 Rochester Way
Plano, TX 75094
Phone
(972) 384-1476
Fax
(972) 202-0244
NPI assigned
Oct 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kenneth Isiguzo Ochulor, RPH BA BSC
Title
Assist Administrator
Phone
(972) 384-1476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 36310 TX Primary

Addresses

Primary practice location

1141 Rochester Way
Plano, TX 75094

Mailing address

1141 Rochester Way
Plano, TX 75094
Phone (972) 384-1476

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070719000808 TX Part A Provider - Home Health Agency 7618078775 Practice locations: Plano, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922182351. Details of each certification follow.

Home health agency certification: CCN 743103

Legal name
APPLECARE HOME HEALTH SERV INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 8, 2008
Last certification
Apr 13, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 26, 2006 in TX
Enrollment address
1141 Rochester Way
Plano, TX 75094-4509

Care Compare: Home health agency

Medicare Care Compare
Listed as
Applecare Home Health Services IncCCN 743103 · All quality measures
Ownership
Proprietary
Certified
Apr 8, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Kenneth Ochulor Individual 5% Or Greater Direct Ownership Interest Apr 26, 2006 50%
5% Or Greater Mortgage Interest Apr 26, 2006 50%
5% Or Greater Security Interest Apr 26, 2006 50%
General Partnership Interest Apr 26, 2006 50%
Limited Partnership Interest Apr 26, 2006 50%
Corporate Officer Apr 26, 2006 50%
Corporate Director Apr 26, 2006 50%
W-2 Managing Employee Apr 26, 2006 50%
Chisom Ochulor Individual 5% Or Greater Direct Ownership Interest Apr 26, 2006 50%
5% Or Greater Mortgage Interest Apr 26, 2006 50%
5% Or Greater Security Interest Apr 26, 2006 50%
General Partnership Interest Apr 26, 2006 50%
Limited Partnership Interest Apr 26, 2006 50%
Corporate Officer Apr 26, 2006 50%
Corporate Director Apr 26, 2006 50%
W-2 Managing Employee Apr 26, 2006 50%

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922182351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 ROCHESTER WAY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75094",
            "telephone_number": "972-384-1476",
            "fax_number": "972-202-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 ROCHESTER WAY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75094",
            "telephone_number": "972-384-1476",
            "fax_number": "972-202-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLECARE HOME HEALTH SERV INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OCHULOR",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ISIGUZO",
        "authorized_official_title_or_position": "ASSIST ADMINISTRATOR",
        "authorized_official_telephone_number": "972-384-1476",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH BA BSC"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "36310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.