Provider Demographics
NPI:1447605217
Name:REFLECTIONS HOSPICE OF ARIZONA NORTH
Entity Type:Organization
Organization Name:REFLECTIONS HOSPICE OF ARIZONA NORTH
Other - Org Name:ANTHEM HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO, PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KHALID
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHIRIF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-246-3593
Mailing Address - Street 1:105 N. PASADENA ST.
Mailing Address - Street 2:SUITE 3
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-5013
Mailing Address - Country:US
Mailing Address - Phone:480-588-5777
Mailing Address - Fax:480-588-6770
Practice Address - Street 1:105 N. PASADENA ST.
Practice Address - Street 2:SUITE 3
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-5013
Practice Address - Country:US
Practice Address - Phone:480-588-5777
Practice Address - Fax:480-588-6770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-29
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based