Provider Demographics
NPI:1972968493
Name:AXIS HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:AXIS HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LALA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAYANDURYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-392-8060
Mailing Address - Street 1:6360 VAN NUYS BLVD
Mailing Address - Street 2:STE106B
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-2638
Mailing Address - Country:US
Mailing Address - Phone:818-392-8060
Mailing Address - Fax:818-514-2695
Practice Address - Street 1:6360 VAN NUYS BLVD
Practice Address - Street 2:STE106B
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-2638
Practice Address - Country:US
Practice Address - Phone:818-392-8060
Practice Address - Fax:818-514-2695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-28
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health