AXIS HOME PCA AGENCY INC (NPI# 1063011310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063011310 |
| Entity Type | Organization |
| Organization Name | AXIS HOME PCA AGENCY INC |
| Practice Address |
3807 Chicago Ave Minneapolis MN 55407-2612 |
| Practice Telephone | 6123547714 |
| Practice Fax Number | 6128222451 |
| Mailing Telephone | 6123547714 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | MS. CUBTAN NUR (MANAGER) |
| Authorized Official Telephone | 6123547714 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | UMPI | 2174625000 | 01 |
| Other Name | Type Code |
|---|---|
| AXIS HOME PCA AGENCY INC | Doing Business As Name - Organization |
| Street Address |
3807 CHICAGO AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245844547 | Hassan Hared Elmi | Home Health Aide | 1817 Nicollet Ave Ste 4001817, Minneapolis, MN 55403-3774 | 2020-09-03 |
| 1245857614 | Mohamed Abdisalan Aden | Home Health Aide | 2833 13th Ave S Ste 120, Minneapolis, MN 55407-1417 | 2020-07-01 |
| 1497371439 | Caring Heart Home Healthcrae, LLC | Home Health Aide | 1200 W Broadway Ave # 130, Minneapolis, MN 55411-2572 | 2020-06-24 |
| 1063045417 | Abdirizak Diis | Home Health Aide | 2310 James Ave N, Minneapolis, MN 55411-1933 | 2020-02-13 |
| 1336692185 | Julia Copeland | Home Health Aide | 4335 Upton Ave N, Minneapolis, MN 55412-1009 | 2016-07-28 |
| 1891159943 | Brenda Harris | Home Health Aide | 2225 Ilion Ave N, Minneapolis, MN 55411-1921 | 2016-04-05 |
| 1275928178 | Patricia Ann Herrboldt | Home Health Aide | 920 52nd Ave N, Minneapolis, MN 55430-3568 | 2015-03-30 |
| 1790195972 | Dek M Ali I | Home Health Aide | 419 Cedar Ave S Apt G284, Minneapolis, MN 55454-1032 | 2014-04-28 |
| 1811323652 | Kidist Taye Gemta | Home Health Aide | 2327 E Franklin Ave, Suite #3, Minneapolis, MN 55406 | 2013-09-25 |
| 1629414461 | Dyir Bede Abdi | Home Health Aide | 343 E Lake St, Minneapolis, MN 55408-2455 | 2013-05-20 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
Please comment or provide details below to improve the information on AXIS HOME PCA AGENCY INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.