AXIS BEHAVIORAL HEALTH, INC (NPI# 1861614992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861614992 |
| Entity Type | Organization |
| Organization Name | AXIS BEHAVIORAL HEALTH, INC |
| Other Organization Name | AXIS BEHAVIORAL HEALTH ADC |
| Practice Address |
6840 Bird Road Miami FL 33155 |
| Mailing Address |
6840 Bird Road Suite 205 Miami FL 33155 |
| Practice Telephone | 3056680634 |
| Practice Fax Number | 3055511210 |
| Mailing Telephone | 3056680634 |
| Mailing Fax Number | 3055511210 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LORIANA M NOVOA (PRESIDENT) |
| Authorized Official Telephone | 3056680634 |
| Authorized Official Credential | ED.O |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | 9050 | FL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PROVIDER NUMBER | 235271 | 01 |
| FL | PROVIDER NUMBER | 60-70164 | 01 |
| Other Name | Type Code |
|---|---|
| Axis Behavioral Health ADC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497217699 | Axis Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 740 12th Ave S, Saint Cloud, MN 56301-4219 | 2019-04-05 |
| Street Address |
6840 BIRD ROAD |
| City | MIAMI |
| State | FL |
| Zip Code | 33155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987121 | Blanca Argentina Torres | Speech-Language Pathologist | 6840 Bird Rd Unit 211a, Miami, FL 33155 | 2020-09-21 |
| 1245888585 | Mila De La Caridad Broche Coego | Behavior Technician | 2247 Sw 68th Ct, Miami, FL 33155 | 2019-08-29 |
| 1265087878 | Nancy Acela Denis | Nurse Practitioner | 6791 Sw 25 Terra, Miami, FL 33155 | 2019-08-09 |
| 1700366887 | Aly Hashim | Family Medicine | 2805 Sw 75th Avenue, Miami, FL 33155 | 2018-08-17 |
| 1184115362 | Ready 2 Transfer, Inc. | Non-emergency Medical Transport (VAN) | 7811 Sw 24 Street #120, Miami, FL 33155 | 2018-05-23 |
| 1053808030 | Idalmis Pimentel Diez | Behavior Technician | 6334 Sw 30th St, Miami, FL 33155 | 2018-04-16 |
| 1225538689 | L & L Social Services LLC | Case Management | 5950 Sw 40 St, Miami, FL 33155 | 2018-02-12 |
| 1659888915 | Red Bird Dental Care | Dentist | 5771 Sw 40 St, Miami, FL 33155 | 2018-01-08 |
| 1043726474 | Jesenia Rodriguez-vila | Nurse Practitioner | 6433 Sw 29th St, Miami, FL 33155 | 2017-12-21 |
| 1326553736 | Believe Neuro-behavioral Services | Behavioral Analyst | 6700 Sw 38th St, Miami, FL 33155 | 2017-12-07 |
| Find all providers in zip 33155 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750727830 | Sweetwater Adult Care & Activity Center | Custodial Care Facility | 11391 W Flagler St, Miami, FL 33174-1185 | 2013-05-16 |
| 1932452059 | Millenium Adult Day Care | Custodial Care Facility | 14619 Sw 42nd St, Miami, FL 33175-7825 | 2012-10-26 |
| 1740538396 | Reinaldo Hernandez | Custodial Care Facility | 3310 Sw 24th St, Miami, FL 33145-3134 | 2012-08-29 |
| 1528316288 | La Merced Adult Day Care | Custodial Care Facility | 8707 Sw 9 Terrace, Miami, FL 33174 | 2012-08-28 |
| 1235496522 | Caritas Alegres Adult Day Care | Custodial Care Facility | 2407 Nw 7th St, Miami, FL 33125-3134 | 2012-04-12 |
| 1770854622 | Abuelo's Daycare | Custodial Care Facility | 15435 Sw 137th Ave, Miami, FL 33177-1279 | 2012-01-24 |
| 1255601142 | Pace Health Systems | Custodial Care Facility | 25 Sierra Dr, Miami, FL 33179-3266 | 2012-01-09 |
| 1235412164 | Morning Star Adult Day Care Corp | Custodial Care Facility | 2741 Sw 142nd Ave, Miami, FL 33175-8014 | 2011-09-27 |
| 1427358381 | Adult Family Care Home Martha Roman | Custodial Care Facility | 10275 Sw 34th St, Miami, FL 33165-3805 | 2010-10-26 |
| 1174830517 | The May Foundation, Inc. | Custodial Care Facility | 1072 Nw 54th St, Miami, FL 33127-1820 | 2010-09-07 |
| Find all providers in MIAMI | ||||
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| 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.