Agate Housing and Services Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

AGATE HOUSING AND SERVICES INC.

Practice address

2309 Nicollet Ave
Minneapolis, MN 55404-3315

Phone

(612) 730-3092

NPI assigned

Feb 2, 2021

Organization subpart

No

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

Authorized official

Name

Kyle D Hanson

Title

Executive Director

Phone

(612) 874-0311

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1215528161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043315",
            "telephone_number": "612-730-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGATE HOUSING AND SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2023-06-05",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-874-0311"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agape Assisted Living & Housing Services
• Agape Home Care
• Agape Nursing Services Inc
• Divyansh Agarwal, MD, PHD, MS
• Indu Agarwal, M.B., B.S.
• Nargiz Agayeva, MD
• Akenzua Agbator, PMHNP-BC
• Opeyemi Olaide Agboola, M.D
• Pauline Emoh Agbor
• Rose Betak Agbor, NP

• All providers in Minneapolis, MN
• Substance Use Disorder Rehabilitation Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.