Agave Residential Care Home, LLC

NPI #1376058065 in Laveen, Arizona

Provider Information

NPI Number: 1376058065
Entity Type: Organization
Organization Name: Agave Residential Care Home, LLC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Dec 5, 2017
Last Updated: Jan 22, 2026

Practice Location

Address: 5628 W GLASS LN
City: Laveen
State: Arizona
ZIP Code: 85339-2278
Phone: (602) 802-9655

Authorized Official

Name: FESTUS UBIEBOR
Title: CHEIF OFFICER
Phone: (602) 931-7437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
Bianca Mckinney	Community Based Residential Treatment Facility, Mental Illness	Laveen	AI Deep Dive
Brandi Ann Jimenez	Community Based Residential Treatment Facility, Mental Illness	Laveen	AI Deep Dive

Organizations

Provider Name	Specialty	City
Joondalup Prestige LLC	Community Based Residential Treatment Facility, Mental Illness	Laveen	AI Deep Dive
Ivy Home Care LLC	Community Based Residential Treatment Facility, Mental Illness	Laveen	AI Deep Dive
Beautiful Beginnings Assisted Living Homes LLC	Community Based Residential Treatment Facility, Mental Illness	Laveen	AI Deep Dive

Want to research this healthcare provider further?