AGAVE HEALTH, INC. (NPI# 1417397928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417397928 |
| Entity Type | Organization |
| Organization Name | AGAVE HEALTH, INC. |
| Practice Address |
2551 Coors Boulevard Northwest Albuquerque NM 87120 |
| Mailing Address |
2551 Coors Blvd Nw Albuquerque NM 87120-1213 |
| Practice Telephone | 6022854200 |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2014-07-22 |
| Authorized Official Name | MS. CINDY MONZON (HR) |
| Authorized Official Telephone | 6022854239 |
| Authorized Official Credential | MBA, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0800X |
Clinic/Center Specialization: Recovery Care |
3454 | NM | Ambulatory Health Care Facilities |
| Y | 253J00000X | Foster Care Agency | 3454 | NM | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 06808034 | 05 | |
| NM | 66787718 | 05 |
| Street Address |
2551 COORS BOULEVARD NORTHWEST |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971919 | Erica Denise Ortiz | Social Worker | 6212 Casa Blanca Dr Nw, Albuquerque, NM 87120 | 2020-10-27 |
| 1770133589 | Laura Lee Smith | Technician | 5112 Vista De Luz Nw, Albuquerque, NM 87120 | 2019-09-13 |
| 1285282715 | Aiden Charles Martinez | Case Manager/Care Coordinator | 6704 Nueva Pierda Street Nw, Albuquerque, NM 87120 | 2019-08-28 |
| 1831753508 | Jennifer Lydia Castro | Nurse Practitioner | 8428 Hawk Eye Rd Nw, Albuquerque, NM 87120 | 2019-04-27 |
| 1518425065 | Jean Louise Ramsey | Counselor | Office Alternatives/ The Center for Life Changes, 6300 Riverside Plaza Nw, Suite 100, Albuquerque, NM 87120 | 2019-03-04 |
| 1689147365 | Stairway Recovery, LLC | Family Medicine | 6300 Riverside Plaza Ln Nw Ste 118 #96523, Albuquerque, NM 87120 | 2019-01-06 |
| 1417443276 | Kyle Thomas Lantz | Dentist | 2800-a Coors Blvd Nw, Albuquerque, NM 87120 | 2018-07-05 |
| 1437669736 | Beatrice Ottomanelli | Day Training/Habilitation Specialist | 9180 Coors Blvd. Nw, Apt. 3307, Albuquerque, NM 87120 | 2017-10-02 |
| 1740705516 | Alianza Home Care, LLC | Home Health | 8307 Casa Negra Ct Nw, Albuquerque, NM 87120 | 2017-08-13 |
| 1366963399 | Jamie Farris | Registered Nurse | 8201 Golf Course Road Northwest, Suite D3 #121, Albuquerque, NM 87120 | 2017-06-29 |
| Find all providers in zip 87120 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851434138 | High Desert Family Services, Inc. | Foster Care Agency | 7001 Prospect Pl Ne, Albuquerque, NM 87110-4311 | 2007-02-15 |
| 1295392231 | Stepping Stone | Foster Care Agency | 3320 Coors Blvd Nw, Albuquerque, NM 87120-1717 | 2019-05-24 |
| 1679137178 | Arca | Foster Care Agency | 1503 4th St Nw, Albuquerque, NM 87102-1420 | 2019-04-30 |
| 1932569514 | Behavioral Healthcare Services, Inc. | Foster Care Agency | 707 Broadway Blvd Ne Ste 500, Albuquerque, NM 87102-2367 | 2016-02-25 |
| 1891955100 | Hogares Inc | Foster Care Agency | 1218 Griegos Rd Nw, Albuquerque, NM 87107-3752 | 2008-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255711255 | La Clinica De Familia, Incorporated | Foster Care Agency | 575 S Alameda Blvd, Las Cruces, NM 88005-2818 | 2015-06-04 |
| City | ALBUQUERQUE |
| Zip Code | 87120 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.