MEDICARE: BEST CARE BEHAVIORAL HOME LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1184593725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST CARE BEHAVIORAL HOME LLC

Provider Business Mailing Address
First Line	:	7321 S 15TH DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85041-6932
Country	:	US
Telephone Number	:	480-207-6144
Fax Number	:	480-207-6144

Provider Business Practice Location Address
First Line	:	7321 S 15TH DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85041-6932
Country	:	US
Telephone Number	:	480-207-6144
Fax Number	:	480-207-6144

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	MR. AVETIK HOVHANNISYAN
Credential	:
Telephone Number	:	480-207-6144

Provider Enumeration Date	:	11/03/2025
Last Update Date	:	12/05/2025

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