Agave Care Home Of Scottsdale Llc

LBN: Agave Care Home Of Scottsdale Llc
Agave Care Home Of Scottsdale Llc is an health care organization with primary practice located at 4833 E Marconi Ave , Scottsdale AZ 85254-1634. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Agave Care Home Of Scottsdale Llc can be contacted via phone (602) 795-6107, or through Arguillo, Dina Bata via phone (602) 795-6107.

Contact Information

Primary practice address
4833 E Marconi Ave Scottsdale AZ 85254-1634
Phone: (602) 795-6107
Fax: (602) 801-3543
Website:
Map and Directions
Authorized official contact:
Name: Arguillo, Dina Bata
Phone: (602) 795-6107

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1902497001
LBN Legal business name Agave Care Home Of Scottsdale Llc
DBA Doing business as
Authorized official Arguillo, Dina Bata
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2021
Last updated Feb 1st, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902497001 NPPES
Arizona MEDICAID 287774

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