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Agave Residential Care Home, LLC

Mental Illness Community Based Residential Treatment Facility in Laveen, AZ · enumerated 2017 · authorized official Festus Ubiebor, Cheif Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1376058065

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Registry record

Entity type Organization (Type 2)
Legal business name Agave Residential Care Home, LLC
Practice address 5628 W Glass Ln, Laveen, AZ, 85339
Enumeration date Dec 5, 2017
Last updated in NPPES Jan 22, 2026

Taxonomy & classification

320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities · License BH301 (AZ) Primary

Authorized official

Name Festus Ubiebor
Title Cheif Officer

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-01-22. Verify at npiregistry.cms.hhs.gov.
Where is Agave Residential Care Home, LLC located?
The practice location on file with NPPES is in Laveen, AZ.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-22.