NPI 1730722778 · live from the CMS NPI Registry
Apple Grove Treatment Center
Respite Care in Las Vegas, NV. National Provider Identifier 1730722778, active.
NPI record
| NPI | 1730722778 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Respite Care 385H00000X |
| Practice location | 3155 E Patrick Ln Ste 1, Las Vegas, NV 89120 |
| Practice phone | 702-992-0576 |
| Enumerated | October 22, 2019 |
| Last updated | July 24, 2024 |
| Authorized official | Icia Sandulak, Managing Member |
| Other names | Apple Grove |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Counselor, Mental Health | 101YM0800X | — |
| Marriage & Family Therapist | 106H00000X | — |
| Respite Care primary | 385H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.