Provider Demographics
NPI:1518407881
Name:AXXISCARE HOME HEALTH LLC
Entity Type:Organization
Organization Name:AXXISCARE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:YUSUF
Authorized Official - Middle Name:
Authorized Official - Last Name:FARAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-592-3032
Mailing Address - Street 1:1420 RICHMOND RD
Mailing Address - Street 2:M-1
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2459
Mailing Address - Country:US
Mailing Address - Phone:614-592-3032
Mailing Address - Fax:
Practice Address - Street 1:1420 RICHMOND RD
Practice Address - Street 2:M-1
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44118
Practice Address - Country:US
Practice Address - Phone:614-592-3032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-06
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health