AGAPE CHILDREN'S SERVICES INC (NPI# 1699820779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699820779 |
| Entity Type | Organization |
| Organization Name | AGAPE CHILDREN'S SERVICES INC |
| Practice Address |
5431 Lindero Pl Las Vegas NV 89119-2714 |
| Practice Telephone | 7027397716 |
| Practice Fax Number | 7025972242 |
| Mailing Telephone | 7027397716 |
| Mailing Fax Number | 7025972242 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2008-06-24 |
| Authorized Official Name | BRYAN F LINK (DIRECTOR) |
| Authorized Official Telephone | 7027397716 |
| Authorized Official Credential | MSW LSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 100508249 | NV | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100511851 | 05 | |
| NV | 100511852 | 05 | |
| NV | 100508249 | 05 | |
| NV | 100511853 | 05 |
| Street Address |
5431 LINDERO PL |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| 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 |
|---|---|---|---|---|
| 1891282786 | Avenues 2 Success | Residential Treatment Facility, Emotionally Disturbed Children | 9520 Chanticleer Ct, Las Vegas, NV 89129-7858 | 2018-04-17 |
| 1093030017 | Unepected Changes | Residential Treatment Facility, Emotionally Disturbed Children | 428 Marion Dr, Las Vegas, NV 89110-3473 | 2010-04-01 |
| 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 |
| 1851579221 | Father Flanagans Boys' Home | Residential Treatment Facility, Emotionally Disturbed Children | 8130 Flanagan Dr, Las Vegas, NV 89131-0200 | 2008-02-07 |
| 1942488317 | Father Flanagans Boys' Home | Residential Treatment Facility, Emotionally Disturbed Children | 8160 Flanagan Dr, Las Vegas, NV 89131-0200 | 2008-02-07 |
| 1942487095 | Father Flanagans Boys' Home | Residential Treatment Facility, Emotionally Disturbed Children | 8050 Flanagan Dr, Las Vegas, NV 89131-0200 | 2008-01-30 |
| 1780879635 | Honne B Care, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1221 Betty Ln, Las Vegas, NV 89110-1601 | 2007-09-12 |
| 1023137833 | Father Flanagan's Boys' Home | Residential Treatment Facility, Emotionally Disturbed Children | 821 N Mojave Rd, Las Vegas, NV 89101-2407 | 2007-03-29 |
| 1750726915 | Peoplesbehavior | Residential Treatment Facility, Emotionally Disturbed Children | 1121 W Adams Ave, Las Vegas, NV 89106-2946 | 2013-05-01 |
| Find all providers in LAS VEGAS | ||||
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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.