MESA DEVELOPMENT SUB, LLC
NPI 1013789668
Psychiatric Hospital in Mesa, AZ
About Mesa Development Sub, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MESA DEVELOPMENT SUB, LLC (NPI 1013789668), doing business as Agave Ridge Behavioral Hospital, is a healthcare organization registered as a psychiatric hospital in Mesa, Arizona and active in the NPI registry since October 2023. The organization maintains a secondary practice location in Mesa and lists Brian P. Farley, Vice President And Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mesa Development Sub, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mesa Development Sub, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mesa Development Sub, LLC's NPI number?
The NPI number for Mesa Development Sub, LLC is 1013789668. It was assigned to this organization in the NPPES registry on October 26, 2023. The provider is doing business as Agave Ridge Behavioral Hospital.
Where is Mesa Development Sub, LLC located?
Mesa Development Sub, LLC is located at 3322 South Ellsworth Rd, Mesa, AZ 85212. The listed phone number is (623) 254-7220.
What is Mesa Development Sub, LLC's specialty?
The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.
Is Mesa Development Sub, LLC enrolled in Medicare?
Yes. Mesa Development Sub, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mesa Development Sub, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Mesa Development Sub, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mesa Development Sub, LLC accept?
Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. list Mesa Development Sub, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mesa Development Sub, LLC was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.