Provider Demographics
NPI:1427883099
Name:AXIS HOME HEALTHCARE L. L. C.
Entity type:Organization
Organization Name:AXIS HOME HEALTHCARE L. L. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDIRISAK
Authorized Official - Middle Name:HASSAN
Authorized Official - Last Name:ABDULLAHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-472-5589
Mailing Address - Street 1:3200 SOUTHDALE CIR APT 324
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-5168
Mailing Address - Country:US
Mailing Address - Phone:612-472-5589
Mailing Address - Fax:
Practice Address - Street 1:3200 SOUTHDALE CIR APT 324
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-5168
Practice Address - Country:US
Practice Address - Phone:612-472-5589
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center