Active NPI
Applegate Health Services, Inc
Doing business as AppleGate Recovery El Dorado
- Substance Use Disorder Rehabilitation Clinic/Center
- El Dorado, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- APPLEGATE HEALTH SERVICES, INC
- Doing business as
- AppleGate Recovery El Dorado
- Practice address
- 403 W Oak St Ste 105
El Dorado, AR 71730-4573 - Phone
- (870) 639-6900
- NPI assigned
- Jun 13, 2017
- Last updated
- Jul 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bruce Jarvie
- Title
- VP, Treasurer
- Phone
- (214) 379-3300
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary | ||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
403 W Oak St Ste 105
El Dorado, AR 71730-4573
Mailing address
1720 Lakepointe Dr Ste 117
Lewisville, TX 75057-6425
Phone (214) 373-3001
Other names 1
- AppleGate Recovery El Dorado
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2131230 | Applegate Health Services, Inc | Certificate of waiver | May 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
403 W Oak St
Ste 105
El Dorado, AR 71730
Phone (501) 863-9303
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Nurse Practitioner
- Magnolia, AR
- NPI 1700244985
-
- Family Medicine Physician
- Camden, AR
- NPI 1023283710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722211200000",
"number": "1780114611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 LAKEPOINTE DR STE 117",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750576425",
"telephone_number": "214-373-3001",
"fax_number": "214-853-9018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 W OAK ST STE 105",
"city": "EL DORADO",
"state": "AR",
"postal_code": "717304573",
"telephone_number": "870-639-6900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APPLEGATE HEALTH SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-13",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A",
"authorized_official_last_name": "JARVIE",
"authorized_official_first_name": "BRUCE",
"authorized_official_title_or_position": "VP, TREASURER",
"authorized_official_telephone_number": "214-379-3300"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AppleGate Recovery El Dorado",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in El Dorado, AR
- Anaya Medical, Inc
- Anaya Medical, Inc
- Liviu M. Anca, MD
- Roshonda L Anderson, MSW
- Gary P Anzalone, MD
- Arkansas Asthma & Lung Centers Inc
- Arkansas Hospice, Inc. (LifeTouch Health Hospice Care)
- Arkansas Nephrology Services, LTD. (South Arkansas Kidney Center)
- Arkansas Nephrology Services, LTD. (South Arkansas Nephrology Associates)
- Arkansas Urology, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.