Active NPI
Agapecare LLC
- Substance Abuse Rehabilitation Facility
- Phoenix, AZ
National Provider Identifier
1992426308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- AGAPECARE LLC
- Practice address
- 1656 W Piedmont Rd
Phoenix, AZ 85041-3757 - Phone
- (937) 430-1469
- NPI assigned
- Sep 6, 2022
- Organization subpart
- No
NPPES NPI Registry
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
- (937) 430-1469
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
1656 W Piedmont Rd
Phoenix, AZ 85041-3757
Mailing address
6724 S 4TH St
Phoenix, AZ 85042-7685
Phone (937) 430-1469
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BH7961 | Other | AZ | ARIZONA DEPARTMENT OF HEALTH SERVICES |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | agapecareinfo@gmail.com | Direct | AGAPECARE LLC |
National Provider Directory
National Provider Directory- Tax ID family
- Agapecare LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Phoenix, AZ
- NPI 1518620509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662422400000",
"number": "1992426308",
"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": "1656 W PIEDMONT RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850413757",
"telephone_number": "937-430-1469"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGAPECARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-06",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A",
"authorized_official_last_name": "GAHIMBARE",
"authorized_official_first_name": "EMERYNE",
"authorized_official_title_or_position": "CEO/ADMINISTRATOR",
"authorized_official_telephone_number": "937-430-1469",
"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": "BH7961",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "agapecareinfo@gmail.com",
"affiliation": "Y",
"endpointDescription": "email address",
"affiliationName": "AGAPECARE LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "medical information",
"address_1": "1656 W Piedmont Rd",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850413757",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.