Agave Health, Inc.

LBN: Agave Health, Inc.
Agave Health, Inc. is an health care organization with primary practice located at 2551 Coors Boulevard Northwest , Albuquerque NM 87120. The organization recently has 2 registered licenses in different health care specialties including Agencies / Foster Care Agency, Ambulatory Health Care Facilities / Recovery Care. Agencies / Foster Care Agency is the primary health care specialty. Agave Health, Inc. can be contacted via phone (602) 285-4200, or through Monzon, Cindy via phone (602) 285-4239.

Contact Information

Primary practice address
2551 Coors Boulevard Northwest Albuquerque NM 87120
Phone: (602) 285-4200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Monzon, Cindy MBA, MS
Phone: (602) 285-4239

Health care specialties

SpecialtyCodeLicense #State
Agencies / Foster Care Agency 253J00000X 3454 New Mexico
Ambulatory Health Care Facilities / Recovery Care 261QR0800X 3454 New Mexico

Profile Details

NPI number 1417397928
LBN Legal business name Agave Health, Inc.
DBA Doing business as
Authorized official Monzon, Cindy MBA, MS
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2013
Last updated Jul 22nd, 2014 - about 10 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 1417397928 NPPES
New Mexico MEDICAID 06808034
New Mexico MEDICAID 66787718

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