APPLE GROVE TREATMENT CENTER (NPI# 1730722778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730722778 |
| Entity Type | Organization |
| Organization Name | APPLE GROVE TREATMENT CENTER |
| Practice Address |
3155 E Patrick Ln Ste 1 Las Vegas NV 89120-3481 |
| Practice Telephone | 7029920576 |
| Practice Fax Number | 7029920391 |
| Mailing Telephone | 7029920576 |
| Mailing Fax Number | 7029920391 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |
| Authorized Official Name | MRS. ICIA SANDULAK (MANAGING MEMBER) |
| Authorized Official Telephone | 7025767942 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| APPLE GROVE | 571237806 | 01 |
| Other Name | Type Code |
|---|---|
| Apple Grove | Doing Business As Name - Organization |
| 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 |
| 1346429495 | Apple Grove Treatment Center | Residential Treatment Facility, Emotionally Disturbed Children | 2060 Waverly Cir, Henderson, NV 89014-4593 | 2007-10-25 |
| 1881882421 | Apple Grove Treatment Center | Residential Treatment Facility, Emotionally Disturbed Children | 368 Placer Creek Ln, Henderson, NV 89014-4557 | 2007-10-09 |
| Street Address |
3155 E PATRICK LN STE 1 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89120-3481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336436328 | Angel Buttel | Counselor | 3155 E Patrick Ln Ste 1, Las Vegas, NV 89120-3481 | 2011-06-29 |
| 1720691611 | Jessica Luna | Foster Care Agency | 3155 E Patrick Ln Ste 1, Las Vegas, NV 89120-3481 | 2020-08-28 |
| 1649888181 | Carl Sandulak | Foster Care Agency | 3155 E Patrick Ln Ste 1, Las Vegas, NV 89120-3481 | 2020-07-21 |
| 1225654437 | Shimira Jones | Foster Care Agency | 3155 E Patrick Ln Ste 1, Las Vegas, NV 89120-3481 | 2020-06-23 |
| 1275164907 | Letizia Williams | Foster Care Agency | 3155 E Patrick Ln Ste 1, Las Vegas, NV 89120-3481 | 2020-01-31 |
| 1104477850 | Joycelyn Young | Counselor | 3155 E Patrick Ln Ste 1, Las Vegas, NV 89120-3481 | 2019-09-24 |
| 1164070926 | Michele Campbell | Foster Care Agency | 3155 E Patrick Ln Ste 1, Las Vegas, NV 89120-3481 | 2019-08-26 |
| 1790331510 | Shayla Lambert | Foster Care Agency | 3155 E Patrick Ln Ste 1, Las Vegas, NV 89120-3481 | 2019-08-16 |
| 1932755675 | Eva Rollins | Foster Care Agency | 3155 E Patrick Ln Ste 1, Las Vegas, NV 89120-3481 | 2019-08-16 |
| 1992351829 | Amalya Fitzgerald | Foster Care Agency | 3155 E Patrick Ln Ste 1, Las Vegas, NV 89120-3481 | 2019-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850144 | Mental Edge Therapy Professional LLC | Psychologist | 2520 St. Rose Parkway, Suite 220-a (219), Las Vegas, NV 89120 | 2020-10-30 |
| 1740896877 | Global Behavior Analyst | Behavioral Analyst | 2510 East Sunset Rd, Ste 5 Pmb 670, Las Vegas, NV 89120 | 2020-09-23 |
| 1225656804 | Michael Y Chang Md PC | Anesthesiology | 2700 Sunset Rd B18, Las Vegas, NV 89120 | 2020-07-09 |
| 1053962142 | Arlene M Mcmillen | Technician | 3321 Casey Drive, Apt 104 Bldg 15, Las Vegas, NV 89120 | 2019-09-20 |
| 1942858634 | Michael A Fortunato Md Pllc | Anesthesiology | Michael A Fortunato, Md Pllc, 2700 Sunset Rd #b18, Las Vegas, NV 89120 | 2019-08-27 |
| 1023664521 | Christine White | Behavior Technician | 8431 Sunset Road, Suite 110, Henderson, NV 89120 | 2019-08-12 |
| 1922653435 | David Stefon Mayo | Technician | 3960 E. Patrick Lane, Suite 202., Las Vegas, NV 89120 | 2019-08-02 |
| 1346893724 | Joseph Acuna | Technician | 3960 E. Patrick Lane, Suite 202, Las Vegas, NV 89120 | 2019-07-24 |
| 1588217582 | Va Natasha Manutai | Technician | 3980 E Patrick Lane, Suite 202, Las Vegas, NV 89120 | 2019-07-18 |
| 1811557788 | Fidencia Gutierrez | Chore Provider | 2690 Chandler Ave. Ste. 1, Ste. 1, Las Vegas, NV 89120 | 2019-06-13 |
| Find all providers in zip 89120 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
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| 1386287357 | Nadhc At Eastern, Inc | Respite Care | 8695 Eastern Ave., Las Vegas, NV 89123 | 2019-10-23 |
| 1225671290 | Nadhc At The Acsc, Inc. | Respite Care | 330 N. 13th Street, Las Vegas, NV 89101 | 2019-10-23 |
| 1235659624 | Aspen Care Group, LLC | Respite Care | 3482 Alcudia Bay Ave, Las Vegas, NV 89141-3206 | 2017-06-26 |
| 1962943183 | Budget Watchers | Respite Care | 1201 N Decatur Blvd Ste 107, Las Vegas, NV 89108-1213 | 2017-03-20 |
| 1457715765 | Transformations Care LLC | Respite Care | 5446 Boulder Hwy Ste 1g, Las Vegas, NV 89122-6070 | 2016-04-12 |
| 1013370873 | Stepping Stone Advocacy & Job Support Corporation | Respite Care | 4601 W Sahara Ave, T, Las Vegas, NV 89102-3735 | 2016-03-30 |
| 1467815258 | Opportunity Village | Respite Care | 6050 S Buffalo Dr, Las Vegas, NV 89113-2154 | 2016-03-30 |
| 1922469097 | Danville Services of Nevada | Respite Care | 9139 W Russell Rd Ste 110, Las Vegas, NV 89148-1257 | 2016-03-16 |
| 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.