Organization Active NPI

American Premier Hospice LLC

  • Community Based Hospice Care Agency
  • Phoenix, AZ
National Provider Identifier
1316498231
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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, LLCCCN 031665 · All quality measures
Ownership
For-Profit
Certified
Aug 9, 2017
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2121100American Premier Hospice, LLC11070 N 24TH Ave Ste 201, Phoenix, AZ 85029Certificate of waiverOct 30, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Varuzhan Movsesyan Individual W-2 Managing EmployeeMedical Director Jun 1, 2023
Benevolent Phoenix Hospice Holdings, LLC Organization, Dallas, TX Created for acquisition, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 14, 2025 50.1%
Joshua Brett Rosen Individual 5% Or Greater Indirect Ownership Interest Feb 14, 2025 17.5%
Corporate OfficerManager Feb 14, 2025 50%
Evelyn Justimbaste Individual 5% Or Greater Direct Ownership Interest Feb 14, 2025 49.9%
Corporate Officer Feb 14, 2025 49.9%
Stacy M Cole Individual W-2 Managing EmployeeAd; Mar 16, 2026 100%
Operational/Managerial ControlAdministrator Mar 16, 2026 100%
Bordeaux Capital, LLC Organization, Dallas, TX Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 14, 2025 17.5%
Benevolent Phoenix Healthcare Holdings, LLC Organization, Dallas, TX Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 14, 2025 50.1%
McFarlin Senior Living Investments, LLC Organization, Dallas, TX Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 14, 2025 32.6%
Matthew John Johnson Individual 5% Or Greater Indirect Ownership Interest Feb 14, 2025 32.6%
Corporate OfficerManager 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.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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

Sources for this page

Verify at the official NPI Registry.