Provider Demographics
NPI:1497878862
Name:AXYB INC.
Entity Type:Organization
Organization Name:AXYB INC.
Other - Org Name:AXISHOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:XENIA
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:BUENO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-223-4933
Mailing Address - Street 1:322 EL PASO ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207-5000
Mailing Address - Country:US
Mailing Address - Phone:210-223-4933
Mailing Address - Fax:210-223-3788
Practice Address - Street 1:322 EL PASO ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-5000
Practice Address - Country:US
Practice Address - Phone:210-223-4933
Practice Address - Fax:210-223-3788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX194094201Medicaid
TX679774Medicare Oscar/Certification