AGAVE HEALTH, INC. – NPI #1417397928
Foster Care Agency

A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.

AGAVE HEALTH, INC. is a foster care agency located in ALBUQUERQUE, NM. NPPES has assigned the NPI number 1417397928 to AGAVE HEALTH, INC. on June 28, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 253J00000X from the Health Care Provider Taxonomy code set, which is classified as Foster Care Agency.

The NPI profile was previously updated about 12 years ago on Jul 22, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AGAVE HEALTH, INC. below.

NPI Profile for
AGAVE HEALTH, INC.

NPI Number
1417397928
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AGAVE HEALTH, INC.
Primary location
2551 COORS BOULEVARD NORTHWEST
ALBUQUERQUE, NM 87120
Phone: (602) 285-4200 Fax:
Mailing address
2551 COORS BLVD NW
ALBUQUERQUE, NM 87120-1213
Phone: Fax:
Organization Subpart
No
Authorized Official
CINDY MONZON
HR
Phone: (602) 285-4239
Updated
Identifiers

Identifiers for AGAVE HEALTH, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNM06808034
MEDICAIDNM66787718
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
253J00000X
- Foster Care Agency (Primary)
NM 3454
261QR0800X
- Clinic/Center / Recovery Care
NM 3454

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.