Chase Henderson

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Practice address

1200 S Torrey Pines Dr
#124
Las Vegas, NV 89146-1013

Phone

(702) 992-0576

Fax

(702) 992-0391

NPI assigned

Aug 1, 2011

Last updated

Aug 1, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Apple Grove Treatment Center

  dba apple grove foster care agency

  • Foster Care Agency
  • Las Vegas, NV
  • NPI 1689852279
  NPD (past)

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1457639015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8620 S EASTERN AVE",
            "address_2": "#16",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232836",
            "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": "1200 S TORREY PINES DR",
            "address_2": "#124",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461013",
            "telephone_number": "702-992-0576",
            "fax_number": "702-992-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "CHASE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bertha Henderson
• Brandi Nicole Henderson
• Brenton Henderson
• Brittany Henderson
• Calvin Jr Henderson
• Cory E. Henderson, D.C.
• Dartanyan Lamar Henderson
• Daryl Henderson
• De'Nessha Chartell Henderson
• Diane Henderson

• Foster Care Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Foster Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.