Agapecare LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

AGAPECARE LLC

Practice address

6724 S 4TH St
Phoenix, AZ 85042-7685

Phone

(937) 430-1469

NPI assigned

Oct 18, 2021

Last updated

Oct 18, 2021By 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

Mrs. Emeryne Gahimbare

Title

Ceo/Administrator

Phone

(930) 430-1469

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Agapecare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Agapecare LLC

  • Substance Abuse Rehabilitation Facility
  • Phoenix, AZ
  • NPI 1992426308
  NPD tax ID

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1518620509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6724 S 4TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850427685",
            "telephone_number": "937-430-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6724 S 4TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850427685",
            "telephone_number": "937-430-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "GAHIMBARE",
        "authorized_official_first_name": "EMERYNE",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "930-430-1469",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA DEPARTMENT OF HEALTH SERVICES",
            "identifier": "BH6919",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mail.google.com/mail/u/2/#inbox",
            "affiliation": "N",
            "endpointDescription": "DELL LATITUDE 3450",
            "address_1": "6724 S 4th St",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850427685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Agape Enterprises, Inc. (Agape Chiropractic)
• Agape Family Wellness
• Agape Internal Medicine LLC
• Agape Love Community Center LLC
• Agape Rehabilitation and Reintegration Services LLC (Agape Sober Living Homes)
• Agapecare LLC
• Agappe Living
• Aysha Agarwal, MD
• Mohit Agarwal
• Nimit Kumar Agarwal, MD

• Substance Abuse Rehabilitation Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.