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APPLE GROVE TREATMENT CENTER
NPI 1346429495
Residential Treatment Facility, Emotionally Disturbed Children in Henderson, NV

Active since October 25, 2007
2060 WAVERLY CIR, HENDERSON, NV 89014(702) 369-0396 Get Directions Write a Review

NPPES record last updated: October 25, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Apple Grove Treatment Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

APPLE GROVE TREATMENT CENTER (NPI 1346429495) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Henderson, Nevada and active in the NPI registry since October 2007. The organization lists Icia Reid Sandulak, Director, as its authorized official.

NPPES Registry Identity

NPI1346429495
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameAPPLE GROVE TREATMENT CENTER
Location Address2060 WAVERLY CIRHenderson, NV 89014-4593
Mailing Address368 Placer Creek LnHenderson, NV 89014-4557 · (702) 369-0396
Phone(702) 369-0396
Organization SubpartNo
Authorized OfficialIcia Reid SandulakDirector · (702) 369-0396
Enumeration DateOctober 25, 2007
✔ NPI 1346429495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
2060 WAVERLY CIR, Henderson, NV 89014
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Other Identifiers 1

Medicaid32-2D00000XNV

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVELYN LOUISE JENSON-DAVIDSON
Foster Care Agency
2060 WAVERLY CIR
HENDERSON, NV 89014
Clark County (702) 992-0576

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Apple Grove Treatment Center's NPI number?

The NPI number for Apple Grove Treatment Center is 1346429495. It was assigned to this organization in the NPPES registry on October 25, 2007.

Where is Apple Grove Treatment Center located?

Apple Grove Treatment Center is located at 2060 Waverly Cir, Henderson, NV 89014. The listed phone number is (702) 369-0396.

What is Apple Grove Treatment Center's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Apple Grove Treatment Center was last updated on October 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.