Organization Active NPI

Best Support Hospice Inc

  • Community Based Hospice Care Agency
  • Phoenix, AZ
National Provider Identifier
1457029266
Registry record updated Sep 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
BEST SUPPORT HOSPICE INC
Practice address
4150 W Peoria Ave Ste B130D
Phoenix, AZ 85029-3900
Phone
(602) 960-6027
Fax
(928) 304-7522
NPI assigned
Sep 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vahagn Prazyan
Title
Director
Phone
(602) 960-6027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

4150 W Peoria Ave Ste B130D
Phoenix, AZ 85029-3900

Mailing address

4150 W Peoria Ave Ste B130D
Phoenix, AZ 85029-3900
Phone (602) 960-6027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210920002511 AZ Part A Provider - Hospice 2860899762 Practice locations: Phoenix, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457029266. Details of each certification follow.

Hospice certification: CCN 031791

Legal name
BEST SUPPORT HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 3, 2022
Last certification
May 3, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Apr 16, 2021 in AZ
Enrollment address
2550 W Union Hills Dr
Ste 350
Phoenix, AZ 85027-5187

Care Compare: Hospice

Medicare Care Compare
Listed as
Best Support Hospice IncCCN 031791 · All quality measures
Ownership
For-Profit
Certified
May 3, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

4150 W Peoria Ave
Ste B130D
Phoenix, AZ 85029
Phone (602) 960-6027

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jose Francisco Figueroa Aguilar Individual 5% Or Greater Direct Ownership InterestCeo Dec 26, 2023 100%
Corporate OfficerCeo Dec 26, 2023 100%
Corporate DirectorBoard Member Dec 26, 2023 100%
W-2 Managing EmployeeAd; Dec 26, 2023 100%
Feras Aldaoud Individual W-2 Managing EmployeeMD; Dec 26, 2024 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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": "1630886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630886400000",
    "number": "1457029266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 W PEORIA AVE STE B130D",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293900",
            "telephone_number": "602-960-6027",
            "fax_number": "928-304-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 W PEORIA AVE STE B130D",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293900",
            "telephone_number": "602-960-6027",
            "fax_number": "928-304-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEST SUPPORT HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-06",
        "last_updated": "2021-09-06",
        "certification_date": "2021-09-06",
        "status": "A",
        "authorized_official_last_name": "PRAZYAN",
        "authorized_official_first_name": "VAHAGN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-960-6027"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.