Active NPI
Anthem East LLC
- Community Based Hospice Care Agency
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ANTHEM EAST LLC
- Practice address
- 6650 N Oracle Rd Ste 101
Tucson, AZ 85704-5604 - Phone
- (480) 716-7745
- NPI assigned
- Nov 30, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Tuner
- Title
- Director of Operations
- Phone
- (480) 716-7745
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
6650 N Oracle Rd Ste 101
Tucson, AZ 85704-5604
Mailing address
1840 E University Dr Ste 1
Mesa, AZ 85203-8237
Phone (480) 716-7745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230414000097 | AZ | Part A Provider - Hospice | 3476928920 | Practice locations: Gilbert, AZ |
Hospice certification: CCN 001563
- Legal name
- ANTHEM EAST LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jun 2, 2023
- Last certification
- May 25, 2023
- Organization structure
- LLC
- Incorporated
- Jul 29, 2022 in AZ
- Enrollment address
- 105 N Pasadena St
Ste B
Gilbert, AZ 85233
Care Compare: Hospice
Medicare Care Compare- Listed as
- Anthem East LLC
- Certified
- Jun 2, 2023
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2289073 | Anthem East | Certificate of waiver | Sep 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
6650 N Oracle Rd
Ste 101
Tucson, AZ 85704
Phone (480) 716-7745
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jennifer Hedrick | W-2 Managing Employee | Jul 29, 2022 | 75% |
| Amy Turner | W-2 Managing Employee | Jul 29, 2022 | 25% |
| Khalid M Shirif | 5% Or Greater Direct Ownership Interest | Jul 29, 2022 | 100% |
| Corporate Director | Jul 29, 2022 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Hospice and Palliative Medicine (Surgery) Physician
- Gilbert, AZ
- NPI 1407927130
5% Or Greater Direct Ownership Interest, Corporate Director
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospice and Palliative Medicine (Surgery) Physician
- Gilbert, AZ
- NPI 1407927130
Geriatric Medicine
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospice and Palliative Medicine (Surgery) Physician
- Gilbert, AZ
- NPI 1407927130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746144000000",
"number": "1710697750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 E UNIVERSITY DR STE 1",
"city": "MESA",
"state": "AZ",
"postal_code": "852038237",
"telephone_number": "480-716-7745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6650 N ORACLE RD STE 101",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857045604",
"telephone_number": "480-716-7745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTHEM EAST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-30",
"last_updated": "2025-05-02",
"certification_date": "2025-05-02",
"status": "A",
"authorized_official_last_name": "TUNER",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "480-716-7745"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.