Provider Demographics
NPI:1740013838
Name:AXXESS CARE AND STAFFING AGENCY INC
Entity type:Organization
Organization Name:AXXESS CARE AND STAFFING AGENCY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARMIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PANTOLA-FABELLA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:847-687-6314
Mailing Address - Street 1:8401 CRAWFORD AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-2154
Mailing Address - Country:US
Mailing Address - Phone:847-637-3853
Mailing Address - Fax:847-745-0184
Practice Address - Street 1:8401 CRAWFORD AVE STE 101
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-2154
Practice Address - Country:US
Practice Address - Phone:847-637-3853
Practice Address - Fax:847-745-0184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-23
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health