Provider Demographics
NPI:1023636529
Name:REFLECTIONS HOSPICE INC
Entity type:Organization
Organization Name:REFLECTIONS HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIROSSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-646-1290
Mailing Address - Street 1:16438 VANOWEN ST STE 207A
Mailing Address - Street 2:
Mailing Address - City:LAKE BALBOA
Mailing Address - State:CA
Mailing Address - Zip Code:91406-4733
Mailing Address - Country:US
Mailing Address - Phone:818-646-1290
Mailing Address - Fax:818-475-1773
Practice Address - Street 1:16438 VANOWEN ST STE 207A
Practice Address - Street 2:
Practice Address - City:LAKE BALBOA
Practice Address - State:CA
Practice Address - Zip Code:91406-4733
Practice Address - Country:US
Practice Address - Phone:818-646-1290
Practice Address - Fax:818-475-1773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-10
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based