MEDICARE: REFLECTIONS HOME CARE AGENCY, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1134130966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REFLECTIONS HOME CARE AGENCY, INC

Provider Business Mailing Address
First Line	:	4010 PALOS VERDES DR N
Second Line	:	NO 201
City	:	ROLLING HILLS ESTATES
State	:	CA
Zip	:	90274-2523
Country	:	US
Telephone Number	:	310-265-0890
Fax Number	:	310-265-0895

Provider Business Practice Location Address
First Line	:	4010 PALOS VERDES DR N
Second Line	:	NO 201
City	:	ROLLING HILLS ESTATES
State	:	CA
Zip	:	90274-2523
Country	:	US
Telephone Number	:	310-265-0890
Fax Number	:	310-265-0895

Authorized Official
Title or Position	:	PRESIDENT
Name	:	IRMA CARTINIZ
Credential	:
Telephone Number	:	310-265-0890

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	07/16/2008

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