Healthcare Provider Details

I. General information

NPI: 1457029266
Provider Name (Legal Business Name): BEST SUPPORT HOSPICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2021
Last Update Date: 09/06/2021
Certification Date: 09/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 W PEORIA AVE STE B130D
PHOENIX AZ
85029-3900
US

IV. Provider business mailing address

4150 W PEORIA AVE STE B130D
PHOENIX AZ
85029-3900
US

V. Phone/Fax

Practice location:
  • Phone: 602-960-6027
  • Fax: 928-304-7522
Mailing address:
  • Phone: 602-960-6027
  • Fax: 928-304-7522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: VAHAGN PRAZYAN
Title or Position: DIRECTOR
Credential:
Phone: 602-960-6027