Provider Demographics
NPI:1326652421
Name:ALEXIS HEALTH SERVICE LLC
Entity Type:Organization
Organization Name:ALEXIS HEALTH SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:KASSIM
Authorized Official - Middle Name:
Authorized Official - Last Name:YAKUBU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-795-5812
Mailing Address - Street 1:4977 DELHI PIKE STE B
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-6601
Mailing Address - Country:US
Mailing Address - Phone:513-795-5812
Mailing Address - Fax:513-795-5813
Practice Address - Street 1:4977 DELHI PIKE STE B
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-6601
Practice Address - Country:US
Practice Address - Phone:513-795-5812
Practice Address - Fax:513-795-5813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-04
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health