1235953423 NPI number — AXZONS HOMECARE CORP

Table of content: (NPI 1235953423)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235953423 NPI number — AXZONS HOMECARE CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AXZONS HOMECARE CORP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235953423
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/13/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
70 E SUNRISE HWY STE 500
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VALLEY STREAM
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11581-1233
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
866-429-9667
Provider Business Mailing Address Fax Number:
866-429-9667

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
17842 EASTMOOR ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ATHENS
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35611-2259
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
866-429-9667
Provider Business Practice Location Address Fax Number:
866-429-9667
Provider Enumeration Date:
11/13/2024

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
KALRA
Authorized Official First Name:
SANDEEP
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
866-429-9667

Provider Taxonomy Codes

  • Taxonomy code: 251F00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251J00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)