Organization Active NPI

Anthem East LLC

  • Community Based Hospice Care Agency
  • Tucson, AZ
National Provider Identifier
1710697750
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on May 2, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 001563
Certified
Jun 2, 2023
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2289073Anthem East6650 N Oracle Rd Ste 101, Tucson, AZ 85704Certificate of waiverSep 5, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Jennifer Hedrick Individual W-2 Managing EmployeeDirector of Clinical Services Jul 29, 2022 75%
Amy Turner Individual W-2 Managing EmployeeDirector of Operations Jul 29, 2022 25%
Khalid M Shirif Individual 5% Or Greater Direct Ownership InterestOwner Jul 29, 2022 100%
Corporate DirectorCeo; Cao; & Medical 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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

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

Verify at the official NPI Registry.