DESERT AGAVE HOMES LLC
NPI 1780275537
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Avondale, AZ

Active since February 03, 2021
810 S 124TH AVE, AVONDALE, AZ 85323(623) 242-7962 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Desert Agave Homes Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESERT AGAVE HOMES LLC (NPI 1780275537) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Avondale, Arizona and active in the NPI registry since February 2021. The organization lists Madison Shaun Brown, Owner, as its authorized official.

NPPES Registry Identity

NPI1780275537
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameDESERT AGAVE HOMES LLC
Location Address810 S 124TH AVEAvondale, AZ 85323-8490
Mailing Address3403 E Diamond AveMesa, AZ 85204-4017 · (646) 460-1913
Organization SubpartNo
Authorized OfficialMadison Shaun BrownOwner · (646) 460-1913
Enumeration DateFebruary 3, 2021
NPPES CertifiedFebruary 3, 2021
NPI 1780275537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

810 S 124TH AVE, Avondale, AZ 85323

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
810 S 124TH AVE
AVONDALE, AZ 85323

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 Desert Agave Homes LLC's NPI number?

The NPI number for Desert Agave Homes LLC is 1780275537. It was assigned to this organization in the NPPES registry on February 3, 2021.

Where is Desert Agave Homes LLC located?

Desert Agave Homes LLC is located at 810 S 124th Ave, Avondale, AZ 85323. The listed phone number is (623) 242-7962.

What is Desert Agave Homes LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Desert Agave Homes LLC was last updated on February 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.