MEDICARE: AGAPECARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	BH7961	OTHER	AZ	ARIZONA DEPARTMENT OF HEALTH SERVICES

General Provider Information

NPI Number	:	1992426308
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGAPECARE LLC

Provider Business Mailing Address
First Line	:	6724 S 4TH ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85042-7685
Country	:	US
Telephone Number	:	937-430-1469
Fax Number	:

Provider Business Practice Location Address
First Line	:	1656 W PIEDMONT RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85041-3757
Country	:	US
Telephone Number	:	937-430-1469
Fax Number	:

Authorized Official
Title or Position	:	CEO/ADMINISTRATOR
Name	:	MRS. EMERYNE GAHIMBARE
Credential	:
Telephone Number	:	937-430-1469

Provider Enumeration Date	:	09/06/2022
Last Update Date	:	09/06/2022

Similar Medicare Providers

1548933997 — DR. RONALD RUFF SCHOOL PSYCHOLOGIST
Practice Location Address:

3757 E COVEY LN
PHOENIX, AZ
85050-5004

Practice Phone: 708-205-7189
Practice Fax:

1477482040 — BRIAN HARSHMAN
Practice Location Address:

1832 W CARTER RD
PHOENIX, AZ
85041-6625

Practice Phone: 602-576-1375
Practice Fax:

1023948775 — ANCHOR POINT HOME CARE AND SENIOR SERVICES LLC
Practice Location Address:

5614 S 26TH LN
PHOENIX, AZ
85041-4507

Practice Phone: 313-587-2159
Practice Fax:

1073441069 — KATHRYN LISE MONTIERTH NP
Practice Location Address:

2445 W SPENCER RUN
PHOENIX, AZ
85041-2949

Practice Phone: 602-663-5580
Practice Fax:

1811680713 — BOUGAINVILLEA MANOR LLC
Practice Location Address:

2344 W APOLLO RD
PHOENIX, AZ
85041-5333

Practice Phone: 480-239-9648
Practice Fax:

1902733900 — LITZY KARINA BAUTISTA RN
Practice Location Address:

208 W BEAUTIFUL LN
PHOENIX, AZ
85041-8011

Practice Phone: 480-825-8477
Practice Fax:

Directions to “AGAPECARE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.