APPLE GROVE TREATMENT CENTER (NPI# 1346429495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346429495 |
Entity Type | Organization |
Organization Name | APPLE GROVE TREATMENT CENTER |
Practice Address |
2060 Waverly Cir Henderson NV 89014-4593 |
Mailing Address |
368 Placer Creek Ln Henderson NV 89014-4557 |
Practice Telephone | 7023690396 |
Mailing Telephone | 7023690396 |
Enumeration Date | 2007-10-25 |
Last Update Date | 2007-10-25 |
Authorized Official Name | ICIA REID SANDULAK (DIRECTOR) |
Authorized Official Telephone | 7023690396 |
Authorized Official Credential | BSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | NV | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | 32-2D00000X | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790063626 | Apple Grove Treatment Center | Foster Care Agency | 3155 E Patrick Ln, Ste 1, Las Vegas, NV 89120-3481 | 2011-07-26 |
1689852279 | Apple Grove Treatment Center | Behavioral Analyst | 8620 S Eastern Ave # 16, Las Vegas, NV 89123-2836 | 2008-02-06 |
1730722778 | Apple Grove Treatment Center | Respite Care | 3155 E Patrick Ln Ste 1, Las Vegas, NV 89120-3481 | 2019-10-22 |
1881882421 | Apple Grove Treatment Center | Residential Treatment Facility, Emotionally Disturbed Children | 368 Placer Creek Ln, Henderson, NV 89014-4557 | 2007-10-09 |
Street Address |
2060 WAVERLY CIR |
City | HENDERSON |
State | NV |
Zip Code | 89014-4593 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245518091 | Evelyn Louise Jenson-davidson | Foster Care Agency | 2060 Waverly Cir, Henderson, NV 89014-4593 | 2011-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447857024 | Sudheer J. Surpure, Md, Dds, Inc. | Oral & Maxillofacial Surgery | Grand Canyon Oral and Facial Surgery, 1600 W. Sunset Road, Suite B, Henderson, NV 89014 | 2020-10-06 |
1386271740 | Fibonacci Services LLC | Counselor | 2920 N. Green Valley Pkwy, Bulding 8 & Suite 812, Henderson, NV 89014 | 2020-03-25 |
1508409145 | Facial Expressions Presented By K. Thomas | Home Infusion | 1520 W. Sunset Rd. Ste 130, #205, Henderson, NV 89014 | 2019-10-27 |
1235794595 | Marquise D Dennis | Prosthetist | 1520 W. Sunset Rd, Henderson, NV 89014 | 2019-05-02 |
1609359165 | Kenisha Voncille Thomas | Family Medicine | 1520 W Sunset Rd Ste 130, Henderson, NV 89014 | 2018-09-11 |
1841716727 | Logan Bretney | Physical Therapist | 400 S Stephanie St, Suite 310, Building 1, Henderson, NV 89014 | 2017-08-22 |
1912421280 | Alan Joseph Sevy | Dentist | 1485 W Warm Springs Rd Ste 101, Henderson, NV 89014 | 2017-07-28 |
1659805307 | Ann Marie Echevarria | Behavior Technician | 2551 N Green Valley Parkway, 410a, Henderson, NV 89014 | 2017-04-19 |
1366838997 | Ladwana Retic, Lcsw LLC | Case Management | 1514 Tree Top Ct, Henderson, NV 89014 | 2015-04-10 |
1073958393 | Ashlyn Call | Physician Assistant | 1397 Galleria Dr Ste 100, Henderson, NV 89014 | 2013-04-30 |
Find all providers in zip 89014 |
Taxonomy Code | 322D00000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Emotionally Disturbed Children |
A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700046372 | London Family and Children's Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2026 Silverton Dr, Henderson, NV 89074-1550 | 2008-06-16 |
1255453163 | Select Care Home Incorporated | Residential Treatment Facility, Emotionally Disturbed Children | 233 Gholson Ave, Henderson, NC 27536-4547 | 2007-04-04 |
1942333232 | Walker's Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 110 S Clark St, Henderson, NC 27536-5015 | 2007-03-14 |
1821146069 | Guardian Angel Healthcare,llc | Residential Treatment Facility, Emotionally Disturbed Children | 270 Charles St, Henderson, NC 27536-4328 | 2007-01-06 |
1376691519 | Guardian Angel Healthcare | Residential Treatment Facility, Emotionally Disturbed Children | 273 Gillburg Rd, Henderson, NC 27537-7555 | 2007-01-06 |
1568070720 | A Day To Prevail Family Enhancement LLC | Residential Treatment Facility, Emotionally Disturbed Children | 327 Via Della Greca, Henderson, NV 89011-1701 | 2020-07-14 |
1619118809 | Select Care Home Services LLC | Residential Treatment Facility, Emotionally Disturbed Children | 233 Gholson Ave, Henderson, NC 27536-4547 | 2009-03-17 |
1881882421 | Apple Grove Treatment Center | Residential Treatment Facility, Emotionally Disturbed Children | 368 Placer Creek Ln, Henderson, NV 89014-4557 | 2007-10-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891282786 | Avenues 2 Success | Residential Treatment Facility, Emotionally Disturbed Children | 9520 Chanticleer Ct, Las Vegas, NV 89129-7858 | 2018-04-17 |
1215305818 | Levada House LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3905 Clear Acre Ln Apt 27, Reno, NV 89512-1283 | 2015-09-13 |
1639423064 | Sunny Day Home Health | Residential Treatment Facility, Emotionally Disturbed Children | 1712 Sagebrush Ranch Way, N Las Vegas, NV 89081-6718 | 2012-11-07 |
1093030017 | Unepected Changes | Residential Treatment Facility, Emotionally Disturbed Children | 428 Marion Dr, Las Vegas, NV 89110-3473 | 2010-04-01 |
1245567486 | Luvin' Kare Transitional Services | Residential Treatment Facility, Emotionally Disturbed Children | 217 Delighted Ave, North Las Vegas, NV 89031-1395 | 2009-11-09 |
1679703805 | Horizon Academy LLC | Residential Treatment Facility, Emotionally Disturbed Children | Hc 70 Box 531, Amargosa Valley, NV 89020-9600 | 2009-07-22 |
1174766612 | Carol Ellen Harrison | Residential Treatment Facility, Emotionally Disturbed Children | 1700 Buckthorn Ct, Minden, NV 89423-4127 | 2009-04-14 |
1588821938 | Focal Point Academy | Residential Treatment Facility, Emotionally Disturbed Children | 560 W Mesquite Blvd, Mesquite, NV 89027-5137 | 2008-05-21 |
1306024773 | Father Flanagans Boys' Town | Residential Treatment Facility, Emotionally Disturbed Children | 8090 Flanagan Dr, Las Vegas, NV 89131-0200 | 2008-02-07 |
1215115688 | Father Flanagans Boys' Home | Residential Treatment Facility, Emotionally Disturbed Children | 8110 Flanagan Dr, Las Vegas, NV 89131-0200 | 2008-02-07 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.