Agave Residential Care Home, LLC
NPI 1376058065 · Mental Illness Community Based Residential Treatment Facility · Laveen, AZ
Agave Residential Care Home, LLC is a Mental Illness Community Based Residential Treatment Facility organization in Laveen, AZ (NPI 1376058065).
Provider details
- NPI number
- 1376058065
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Festus Ubiebor, Cheif Officer(602) 931-7437
- License
- BH301 (AZ)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-12-05
- Last updated
- 2026-01-22
- Certified
- 2026-01-22
Frequently asked questions
- What is Agave Residential Care Home, LLC's NPI number?
- Agave Residential Care Home, LLC's National Provider Identifier (NPI) is 1376058065, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Agave Residential Care Home, LLC?
- Agave Residential Care Home, LLC is classified in the NPPES registry as Mental Illness Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Agave Residential Care Home, LLC located?
- Agave Residential Care Home, LLC's practice location on file with NPPES is 5628 W Glass Ln, Laveen, AZ 85339-2278.
- What is Agave Residential Care Home, LLC's phone number?
- The practice phone number listed in the NPPES registry for Agave Residential Care Home, LLC is (602) 802-9655.
- Who is the authorized official for Agave Residential Care Home, LLC?
- The authorized official listed on Agave Residential Care Home, LLC's NPPES record is Festus Ubiebor, Cheif Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Agave Residential Care Home, LLC's NPI active?
- Yes — Agave Residential Care Home, LLC's NPI (1376058065) is active in the NPPES registry as of the last update on 2026-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.