Desert Agave Homes Llc

LBN: Desert Agave Homes Llc
Desert Agave Homes Llc is an health care organization with primary practice located at 810 S 124Th Ave , Avondale AZ 85323-8490. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Desert Agave Homes Llc can be contacted via phone (623) 242-7962, or through Brown, Madison Shaun via phone (646) 460-1913.

Contact Information

Primary practice address
810 S 124Th Ave Avondale AZ 85323-8490
Phone: (623) 242-7962
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brown, Madison Shaun
Phone: (646) 460-1913

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1780275537
LBN Legal business name Desert Agave Homes Llc
DBA Doing business as
Authorized official Brown, Madison Shaun
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2021
Last updated Feb 3rd, 2021 - about 4 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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