Provider Demographics
NPI:1295086254
Name:AXIS HOME HEALTHCARE, INC.
Entity type:Organization
Organization Name:AXIS HOME HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:NICK
Authorized Official - Middle Name:
Authorized Official - Last Name:HINKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-290-2121
Mailing Address - Street 1:629 N HUNTINGTON ST STE 2546
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-1863
Mailing Address - Country:US
Mailing Address - Phone:216-290-2121
Mailing Address - Fax:216-290-2122
Practice Address - Street 1:629 N HUNTINGTON ST STE 2546
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-1863
Practice Address - Country:US
Practice Address - Phone:216-290-2121
Practice Address - Fax:216-290-2122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-30
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health