Agave Health, Inc.

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

3454 Issued in NM

Legal business name

AGAVE HEALTH, INC.

Practice address

2551 Coors Boulevard Northwest
Albuquerque, NM 87120

Phone

(602) 285-4200

NPI assigned

Jun 28, 2013

Last updated

Jul 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Cindy Monzon, MBA, MS

Title

HR

Phone

(602) 285-4239

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 1

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.

• Heath Kilgore, PSYD

  • Addiction (Substance Use Disorder) Psychologist
  • Westwood, KS
  • NPI 1447294947
  NPD (past)

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1417397928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 COORS BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 COORS BOULEVARD NORTHWEST",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87120",
            "telephone_number": "602-285-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAVE HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "MONZON",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "HR",
        "authorized_official_telephone_number": "602-285-4239",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA, MS"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": "NM",
            "license": "3454",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NM",
            "license": "3454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66787718",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06808034",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Afrodite Fioravantes
• After Hours Pediatrics PC (New Mexico Pediatrics)
• Agape Counseling Services of Albuquerque Inc.
• Rohan Agarwal
• Swashti Agarwal, MD
• Bernard M Agbemadzo, MD
• Age to Age Counseling PC (Age to Age Counseling)
• Melyssa Pearl Agee-Mares, LMSW
• Farooq P Agha, M.D.
• Asef Aghapour Maleki, DC

• Foster Care Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Foster Care Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.