NPIMap

Organization Active NPI

Axis Home Care LLC

  • In Home Supportive Care Agency
  • Pleasanton, CA
National Provider Identifier
1235829102
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AXIS HOME CARE LLC
Practice address
3721 Rocky Mountain CT
Pleasanton, CA 94588-5219
Phone
(650) 440-9797
NPI assigned
May 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Authorized official

Name
Manali Khatu
Title
Owner/President
Phone
(650) 440-9797

Specialties & licenses 1

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

Addresses

Primary practice location

3721 Rocky Mountain CT
Pleasanton, CA 94588-5219

Mailing address

3721 Rocky Mountain CT
Pleasanton, CA 94588-5219
Phone (650) 440-9797

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1235829102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 ROCKY MOUNTAIN CT",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885219",
            "telephone_number": "650-440-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 ROCKY MOUNTAIN CT",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885219",
            "telephone_number": "650-440-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "KHATU",
        "authorized_official_first_name": "MANALI",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "650-440-9797"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.