Organization Active NPI

Axis Home Care Services LLC

  • In Home Supportive Care Agency
  • Chicago, IL
National Provider Identifier
1124577382
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
3000453 Issued in IL
Legal business name
AXIS HOME CARE SERVICES LLC
Practice address
6645 N Oliphant Ave
Chicago, IL 60631-1390
Phone
(312) 405-6321
NPI assigned
Sep 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Dimitris Mellos
Title
Owner
Phone
(312) 405-6321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 3000453 IL Primary

Addresses

Primary practice location

6645 N Oliphant Ave
Chicago, IL 60631-1390

Mailing address

6645 N Oliphant Ave
Chicago, IL 60631-1390
Phone (312) 405-6321

National Provider Directory

National Provider Directory

Locations

6645 N Oliphant Ave
Chicago, IL 60631
Phone (312) 405-6321

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1124577382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6645 N OLIPHANT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311390",
            "telephone_number": "312-405-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6645 N OLIPHANT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311390",
            "telephone_number": "312-405-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "MELLOS",
        "authorized_official_first_name": "DIMITRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-405-6321",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3000453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.