Provider Demographics
NPI:1003045964
Name:REFLECTION HC INC
Entity Type:Organization
Organization Name:REFLECTION HC INC
Other - Org Name:A REFLECTION HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAHARIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-477-4090
Mailing Address - Street 1:2600 BEHAN RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-2224
Mailing Address - Country:US
Mailing Address - Phone:815-477-4090
Mailing Address - Fax:815-477-9578
Practice Address - Street 1:2600 BEHAN RD
Practice Address - Street 2:SUITE D
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-2224
Practice Address - Country:US
Practice Address - Phone:815-477-4090
Practice Address - Fax:815-477-9578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-13
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3000353251E00000X
251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care