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NPI Code Detail

MEDICARE: AMERICAN PREMIER PALLIATIVE, LLC

MEDICARE: AMERICAN PREMIER PALLIATIVE, 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
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1700320413
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMERICAN PREMIER PALLIATIVE, LLC
Provider Business Mailing Address
First Line : 11070 N 24TH AVE STE 250
Second Line :
City : PHOENIX
State : AZ
Zip : 85029-4705
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11070 N 24TH AVE STE 250
Second Line :
City : PHOENIX
State : AZ
Zip : 85029-4705
Country : US
Telephone Number : 623-206-7386
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : EVELYN JUSTIMBASTE
Credential : RN BSN
Telephone Number : 623-206-7386
Provider Enumeration Date : 12/14/2016
Last Update Date : 01/28/2026

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Directions to “AMERICAN PREMIER PALLIATIVE, LLC ” Practice Location

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