NPIMap

Organization Active NPI

Applegate Health Services, Inc.

Doing business as AppleGate Recovery of Lake Charles

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lake Charles, LA
National Provider Identifier
1346775210
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
00000 Issued in LA
Legal business name
APPLEGATE HEALTH SERVICES, INC.
Doing business as
AppleGate Recovery of Lake Charles
Practice address
617 W Prien Lake Rd
Suite L
Lake Charles, LA 70601-8386
Phone
(337) 540-7184
NPI assigned
Apr 27, 2017
Last updated
Jul 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Authorized official

Name
Bruce Michael Jarvie
Title
VP, Treasurer
Phone
(214) 379-3300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 00000 LA Primary

Addresses

Primary practice location

617 W Prien Lake Rd
Suite L
Lake Charles, LA 70601-8386

Mailing address

3303 Central Expy
Suite 210
Plano, TX 75023-6913
Phone (972) 578-2333

Other names 1

  • AppleGate Recovery of Lake Charles Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230724000480 LA Part B Supplier - Clinic/Group Practice 1254751472 Receives reassigned benefits from 13 practitioners
4 other NPIs on this enrollment
Practice locations: Bossier City, LA; Lake Charles, LA; Monroe, LA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Applegate Health Services Inc29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

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

View all 28

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1346775210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 CENTRAL EXPY",
            "address_2": "SUITE 210",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750236913",
            "telephone_number": "972-578-2333",
            "fax_number": "972-578-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 W PRIEN LAKE RD",
            "address_2": "SUITE L",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018386",
            "telephone_number": "337-540-7184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLEGATE HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "JARVIE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "VP, TREASURER",
        "authorized_official_telephone_number": "214-379-3300"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "LA",
            "license": "00000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AppleGate Recovery of Lake Charles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.