Reflections Hospice of Arizona North

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

REFLECTIONS HOSPICE OF ARIZONA NORTH

Doing business as

Anthem Hospice

Practice address

105 N. Pasadena St.
Suite 3
Gilbert, AZ 85233-5013

Phone

(480) 588-5777

Fax

(480) 588-6770

NPI assigned

Apr 29, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Khalid M. Shirif, M.D.NPI 1407927130

Title

Ceo, President

Phone

(480) 246-3593

Specialties & licenses 1

Addresses

Other names 1

• Anthem Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447605217. Details of each certification follow.

• CCN 031681 Hospice · Active · Details

Hospice certification: CCN 031681

Legal name

REFLECTIONS HOSPICE OF ARIZONA NORTH

Doing business as

ANTHEM HOSPICE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 2, 2018

Last certification

Jul 7, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Aug 31, 2015 in AZ

Enrollment address

105 N Pasadena St
Ste 3
Gilbert, AZ 85233-5013

Listed as

Anthem Hospice CareCCN 031681 · All quality measures

Ownership

For-Profit

Certified

Mar 2, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Khalid M Shirif, M.D.

  • Hospice and Palliative Medicine (Surgery) Physician
  • Gilbert, AZ
  • NPI 1407927130

  5% Or Greater Direct Ownership Interest

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Khalid M Shirif, M.D.

  • Hospice and Palliative Medicine (Surgery) Physician
  • Gilbert, AZ
  • NPI 1407927130

  Geriatric Medicine

  NPD Authorized official

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Khalid M Shirif, M.D.

  • Hospice and Palliative Medicine (Surgery) Physician
  • Gilbert, AZ
  • NPI 1407927130
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1447605217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N. PASADENA ST.",
            "address_2": "SUITE 3",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335013",
            "telephone_number": "480-588-5777",
            "fax_number": "480-588-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N. PASADENA ST.",
            "address_2": "SUITE 3",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335013",
            "telephone_number": "480-588-5777",
            "fax_number": "480-588-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLECTIONS HOSPICE OF ARIZONA NORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "SHIRIF",
        "authorized_official_first_name": "KHALID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "480-246-3593",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anthem Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Michelle Reed, LCSW
• Matthew Reed, LAC
• Chelsea B Reeder, PTA
• Steven R Reeder, MD
• Joye Awanda Reese-Smith, RN
• Regenesis Healthcare, Inc (ADD Clinic of Arizona)
• Ann S. Reger, PHYSICIAN ASSISTANT
• Kalie Reginato
• Rebekah Regnell
• Rehoboth Homes LLC

• Community Based Hospice Care Agency in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Community Based Hospice Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.