Organization Active NPI

Agape Rehabilitation and Reintegration Services LLC

  • Recovery Care Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1013609429
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
AGAPE REHABILITATION AND REINTEGRATION SERVICES LLC
Practice address
8925 N 43Rd Ave Ste 5
Phoenix, AZ 85051-3616
Phone
(480) 430-3992
NPI assigned
May 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Authorized official

Name
Mr. Kamau John
Title
Member
Phone
(480) 430-3992

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Recovery Care Clinic/Center 261QR0800X Primary

Addresses

Primary practice location

8925 N 43Rd Ave Ste 5
Phoenix, AZ 85051-3616

Mailing address

5955 W Peoria Ave Apt 5054
Glendale, AZ 85302-1204
Phone (480) 430-3992

Other names 1

  • AGAPE SOBER LIVING HOMES Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1013609429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 W PEORIA AVE APT 5054",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853021204",
            "telephone_number": "480-430-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8925 N 43RD AVE STE 5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850513616",
            "telephone_number": "480-430-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE REHABILITATION AND REINTEGRATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "KAMAU",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-430-3992",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AGAPE SOBER LIVING HOMES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.