Organization Active NPI

Agora Care West LLC

Doing business as Brevy

  • In Home Supportive Care Agency
  • Phoenix, AZ
National Provider Identifier
1174343206
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AGORA CARE WEST LLC
Doing business as
Brevy
Practice address
2 N Central Ave Ste 1808
Phoenix, AZ 85004-2322
Phone
(469) 778-4843
NPI assigned
Oct 14, 2024
Last updated
Dec 2, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
AGORA CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Omar Mohamed Ali
Title
Founder
Phone
(469) 778-4843

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2 N Central Ave Ste 1808
Phoenix, AZ 85004-2322

Mailing address

1606 Headway Cir Ste 9530
Austin, TX 78754-5123
Phone (469) 778-4843

Other names 1

  • Brevy 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": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1174343206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 HEADWAY CIR STE 9530",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787545123",
            "telephone_number": "469-778-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 N CENTRAL AVE STE 1808",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042322",
            "telephone_number": "469-778-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGORA CARE WEST LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AGORA CARE, INC.",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "MOHAMED ALI",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "469-778-4843"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brevy",
            "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 Dec 2, 2024; 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.