Active NPI
American Premier Hospice LLC
- Community Based Hospice Care Agency
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- AMERICAN PREMIER HOSPICE LLC
- Practice address
- 11070 N 24TH Ave Ste 200
Phoenix, AZ 85029-4705 - Phone
- (602) 795-9480
- Fax
- (602) 795-9481
- NPI assigned
- Oct 14, 2016
- Last updated
- Jan 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Evelyn Justimbaste
- Title
- Administrator
- Phone
- (602) 795-9480
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
11070 N 24TH Ave Ste 200
Phoenix, AZ 85029-4705
Mailing address
11070 N 24TH Ave Ste 200
Phoenix, AZ 85029-4705
Phone (602) 795-9480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170130002590 | AZ | Part A Provider - Hospice | 3173805975 | Practice locations: Phoenix, AZ |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1316498231. Details of each certification follow.
Hospice certification: CCN 031665
- Legal name
- AMERICAN PREMIER HOSPICE, LLC
- Doing business as
- AMERICAN PREMIER HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Aug 9, 2017
- Last certification
- Oct 7, 2019
- Ownership / control type
- Proprietary - Individual
- Organization structure
- LLC
- Incorporated
- Oct 15, 2014 in AZ
- Enrollment address
- 11070 N 24TH Ave
Ste 200
Phoenix, AZ 85029-4705
Care Compare: Hospice
Medicare Care Compare- Listed as
- American Premier Hospice, LLC
- Ownership
- For-Profit
- Certified
- Aug 9, 2017
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2121100 | American Premier Hospice, LLC | Certificate of waiver | Oct 30, 2026 |
National Provider Directory
National Provider DirectoryLocations
11070 N 24th Ave
Ste 200
Phoenix, AZ 85029
Phone (602) 795-9480
4745 N 7th St
Ste 255
Phoenix, AZ 85014
Phone (602) 795-9480
Ownership & related parties
All disclosed owners & managing parties 9
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Varuzhan Movsesyan | W-2 Managing Employee | Jun 1, 2023 | |
| Benevolent Phoenix Hospice Holdings, LLC | 5% Or Greater Direct Ownership Interest | Feb 14, 2025 | 50.1% |
| Joshua Brett Rosen | 5% Or Greater Indirect Ownership Interest | Feb 14, 2025 | 17.5% |
| Corporate Officer | Feb 14, 2025 | 50% | |
| Evelyn Justimbaste | 5% Or Greater Direct Ownership Interest | Feb 14, 2025 | 49.9% |
| Corporate Officer | Feb 14, 2025 | 49.9% | |
| Stacy M Cole | W-2 Managing Employee | Mar 16, 2026 | 100% |
| Operational/Managerial Control | Mar 16, 2026 | 100% | |
| Bordeaux Capital, LLC | 5% Or Greater Indirect Ownership Interest | Feb 14, 2025 | 17.5% |
| Benevolent Phoenix Healthcare Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Feb 14, 2025 | 50.1% |
| McFarlin Senior Living Investments, LLC | 5% Or Greater Indirect Ownership Interest | Feb 14, 2025 | 32.6% |
| Matthew John Johnson | 5% Or Greater Indirect Ownership Interest | Feb 14, 2025 | 32.6% |
| Corporate Officer | Feb 14, 2025 | 50% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Glendale, AZ
- NPI 1326196809
W-2 Managing Employee
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba American Premier Home Health Care
- Home Health Agency
- Phoenix, AZ
- NPI 1497760201
Benevolent Phoenix Healthcare Holdings, LLC, Bordeaux Capital, LLC, McFarlin Senior Living Investments, LLC
-
dba Bella Hospice of Texas
- Community Based Hospice Care Agency
- Mesquite, TX
- NPI 1609504844
Bordeaux Capital, LLC
-
dba Sparrow Hospice
- Community Based Hospice Care Agency
- Allen, TX
- NPI 1780246108
Bordeaux Capital, LLC
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769558400000",
"number": "1316498231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11070 N 24TH AVE STE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850294705",
"telephone_number": "602-795-9480",
"fax_number": "602-795-9481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11070 N 24TH AVE STE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850294705",
"telephone_number": "602-795-9480",
"fax_number": "602-795-9481"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN PREMIER HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-14",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A",
"authorized_official_last_name": "JUSTIMBASTE",
"authorized_official_first_name": "EVELYN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "602-795-9480"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- American Indian Prevention Coaltion (NDNS4Wellness)
- American Medical Services
- American Medical Solutions, Inc.
- American Physicians, Inc.
- American Pony Express, Inc. (VIP Taxi)
- American Premier Palliative, LLC
- American Premier Pharmacy LLC
- American Service Systems Inc (American HTS)
- American Southwest CPM & Medical Supply, Inc.
- Ameripath Tucson Inc (Ameripath Arizona)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.