Active NPI
Best Support Hospice Inc
- 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
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Ownership
- For-Profit
- Certified
- May 3, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jose Francisco Figueroa Aguilar | 5% Or Greater Direct Ownership Interest | Dec 26, 2023 | 100% |
| Corporate Officer | Dec 26, 2023 | 100% | |
| Corporate Director | Dec 26, 2023 | 100% | |
| W-2 Managing Employee | Dec 26, 2023 | 100% | |
| Feras Aldaoud | W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2021; 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.