AGAVE ADULT MEDICAL CARE LLC – NPI #1861153579
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

Health Care Provider Taxonomy Code for Family Medicine

AGAVE ADULT MEDICAL CARE LLC is a provider located in SEDONA, AZ. NPPES has assigned the NPI number 1861153579 to AGAVE ADULT MEDICAL CARE LLC on January 05, 2022. 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 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was last updated on Oct 15, 2025. 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 ADULT MEDICAL CARE LLC below.

NPI Profile for
AGAVE ADULT MEDICAL CARE LLC

NPI Number
1861153579
Enumeration Date

(more than 4 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 ADULT MEDICAL CARE LLC
Primary location
70 BELL ROCK PLZ STE C
SEDONA, AZ 86351-9066
Phone: (315) 717-7898 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DREW STURGIS
OWNER
Phone: (661) 644-1259
Updated
Certification Date
Oct 15, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
207QA0505X
- Family Medicine / Adult Medicine (Primary)
2085R0202X
- Radiology / Diagnostic Radiology

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.