- Enrollment id
- O20170819000174
- Enrollment state
- AZ
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1447605217
- Multiple npi flag
- N
- Ccn
- 031681
- Associate id
- 4688946072
- Organization name
- REFLECTIONS HOSPICE OF ARIZONA NORTH
- Doing business as name
- ANTHEM HOSPICE CARE
- Incorporation date
- 2015-08-31
- Incorporation state
- AZ
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1840 E UNIVERSITY DR
- Address line 2
- STE 1A
- City
- MESA
- State
- AZ
- Zip code
- 852038237