Apple Grove Treatment Center

LBN: Apple Grove Treatment Center
Apple Grove Treatment Center is an health care organization with primary practice located at 2060 Waverly Cir , Henderson NV 89014-4593. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Apple Grove Treatment Center can be contacted via phone (702) 369-0396, or through Reid Sandulak, Icia via phone (702) 369-0396.

Contact Information

Primary practice address
2060 Waverly Cir Henderson NV 89014-4593
Phone: (702) 369-0396
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reid Sandulak, Icia Bachelor of Social Work (BSW)
Phone: (702) 369-0396

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X Nevada

Profile Details

NPI number 1346429495
LBN Legal business name Apple Grove Treatment Center
DBA Doing business as
Authorized official Reid Sandulak, Icia Bachelor of Social Work (BSW)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2007
Last updated Oct 25th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346429495 NPPES
Nevada MEDICAID 32-2D00000X

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