Organization Active NPI

Agapecare LLC

  • Substance Abuse Rehabilitation Facility
  • Phoenix, AZ
National Provider Identifier
1992426308
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
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

Updated by the provider on Sep 6, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
BH7961OtherAZARIZONA DEPARTMENT OF HEALTH SERVICES

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL agapecareinfo@gmail.com Direct AGAPECARE LLC

National Provider Directory

National Provider Directory
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.

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.

Verify at the official NPI Registry.