NPIMap

Organization Active NPI

Apple Grove Treatment Center

  • Foster Care Agency
  • Las Vegas, NV
National Provider Identifier
1215501416
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
APPLE GROVE TREATMENT CENTER
Practice address
3155 E Patrick LN Ste 1
Las Vegas, NV 89120-3481
Phone
(702) 992-0576
Fax
(702) 992-0391
NPI assigned
May 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kerri S. Korin
Title
Director of Operations
Phone
(702) 992-0576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X Primary

Addresses

Primary practice location

3155 E Patrick LN Ste 1
Las Vegas, NV 89120-3481

Mailing address

3155 E Patrick LN Ste 1
Las Vegas, NV 89120-3481
Phone (702) 992-0576

National Provider Directory

National Provider Directory
Tax ID family
Apple Grove Treatment Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1215501416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 E PATRICK LN STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203481",
            "telephone_number": "702-992-0576",
            "fax_number": "702-992-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 E PATRICK LN STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203481",
            "telephone_number": "702-992-0576",
            "fax_number": "702-992-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE GROVE TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "KORIN",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "702-992-0576"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.