Organization Active NPI

Axxiom Healthcare LLC

  • Home Health Agency
  • East Orange, NJ
National Provider Identifier
1215469408
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AXXIOM HEALTHCARE LLC
Practice address
241 Shepard Ave
FL 2
East Orange, NJ 07018-2416
Phone
(973) 204-5060
NPI assigned
Mar 28, 2017
Organization subpart
Yes
Parent organization
AXXIOM INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Mr. Damon K Ceaser
Title
Chairman, President & Ceo
Phone
(973) 204-5060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NJ Primary

Addresses

Primary practice location

241 Shepard Ave
FL 2
East Orange, NJ 07018-2416

Mailing address

241 Shepard Ave
FL 2
East Orange, NJ 07018-2416
Phone (973) 204-5060

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1215469408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 SHEPARD AVE",
            "address_2": "FL 2",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182416",
            "telephone_number": "973-204-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 SHEPARD AVE",
            "address_2": "FL 2",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182416",
            "telephone_number": "973-204-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXXIOM HEALTHCARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AXXIOM INC",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "CEASER",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHAIRMAN, PRESIDENT & CEO",
        "authorized_official_telephone_number": "973-204-5060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.