Organization Active NPI

Agape Children's Services Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Las Vegas, NV
National Provider Identifier
1699820779
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
100508249 Issued in NV
Legal business name
AGAPE CHILDREN'S SERVICES INC
Practice address
5431 Lindero PL
Las Vegas, NV 89119-2714
Phone
(702) 739-7716
Fax
(702) 597-2242
NPI assigned
Jan 25, 2007
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Bryan F Link, MSW LSW
Title
Director
Phone
(702) 739-7716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 100508249 NV Primary

Addresses

Primary practice location

5431 Lindero PL
Las Vegas, NV 89119-2714

Mailing address

5431 Lindero PL
Las Vegas, NV 89119-2714
Phone (702) 739-7716

Other identifiers 4

IdentifierTypeStateIssuer
100511852MedicaidNV
100511853MedicaidNV
100511851MedicaidNV
100508249MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
A Brighter Day Family Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1699820779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5431 LINDERO PL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192714",
            "telephone_number": "702-739-7716",
            "fax_number": "702-597-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5431 LINDERO PL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192714",
            "telephone_number": "702-739-7716",
            "fax_number": "702-597-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE CHILDREN'S SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "LINK",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-739-7716",
        "authorized_official_credential": "MSW LSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NV",
            "license": "100508249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100511852",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100511853",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100511851",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100508249",
            "state": "NV"
        }
    ],
    "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 24, 2008; 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.