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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AGAVE RESIDENTIAL CARE HOME, LLC

Active Organization

AGAVE RESIDENTIAL CARE HOME, LLC is a Psychiatric Residential Treatment Facility organization located in LAVEEN, Arizona. NPI 1376058065 is currently active in the NPPES registry. Verify at CMS.

Psychiatric Residential Treatment Facility · LAVEEN, AZ

Registration Details

NPI Number
1376058065
Provider Type
Organization
NPI Issued
Dec 5, 2017 (8.6692214911035 yrs)
Last Updated
Jan 22, 2026
License
BH301 (AZ)

Practice Information

Address
5628 W GLASS LN
LAVEEN, AZ, 853392278
Browse AZ providers · Browse ZIP 85339
Phone
6028029655

Other Psychiatric Residential Treatment Facility Organizations in LAVEEN, AZ

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.