Organization Active NPI

American Premier Palliative, LLC

  • Community Based Hospice Care Agency
  • Phoenix, AZ
National Provider Identifier
1700320413
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 PALLIATIVE, LLC
Practice address
11070 N 24TH Ave Ste 250
Phoenix, AZ 85029-4705
Phone
(623) 206-7386
NPI assigned
Dec 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, RN BSN
Title
Administrator
Phone
(623) 206-7386

Specialties & licenses 1

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

Addresses

Primary practice location

11070 N 24TH Ave Ste 250
Phoenix, AZ 85029-4705

Mailing address

11070 N 24TH Ave Ste 250
Phoenix, AZ 85029-4705

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170510001545 AZ Part B Supplier - Clinic/Group Practice 5092092551 Receives reassigned benefits from 4 practitioners
Practice locations: Phoenix, AZ

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
03D2125769American Premier Palliative, LLC11070 N 24TH Ave, Ste 250, Phoenix, AZ 85029Certificate of waiverFeb 12, 2027

National Provider Directory

National Provider Directory

Locations

11070 N 24th Ave
Ste 250
Phoenix, AZ 85029
Phone (602) 795-8795

4745 N 7th St
Ste 250
Phoenix, AZ 85014
Phone (602) 795-8795

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1700320413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11070 N 24TH AVE STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11070 N 24TH AVE STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294705",
            "telephone_number": "623-206-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN PREMIER PALLIATIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "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": "623-206-7386",
        "authorized_official_credential": "RN BSN"
    },
    "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

  • 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.
  • 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.

Verify at the official NPI Registry.