Axis Health at Manokin Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

AXIS HEALTH AT MANOKIN OPCO LLC

Practice address

11974 Edgehill Terrace Rd
Princess Anne, MD 21853-2105

Phone

(410) 651-0011

NPI assigned

Sep 3, 2019

Organization subpart

No

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

Authorized official

Name

Bent Philipson

Title

Member

Phone

(516) 869-3700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1275181257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PLEASANT RIDGE RD",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109771609",
            "telephone_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11974 EDGEHILL TERRACE RD",
            "city": "PRINCESS ANNE",
            "state": "MD",
            "postal_code": "218532105",
            "telephone_number": "410-651-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS HEALTH AT MANOKIN OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "PHILIPSON",
        "authorized_official_first_name": "BENT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-869-3700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Lynn Anderson, CRNP
• Matthew Anderson, DDS
• Maya Armstrong, PA-C
• Kwame Asumadu, DDS
• Aurora Senior Living of Manokin, LLC
• Ganiyat Halle Badmus, LCSW-C
• Wasiu Badmus
• Donna Lynn Baer, RDH
• Karen Marie Baer
• Mary Crystal Bailey, LCSW-C

• Skilled Nursing Facility in Princess Anne, MD
• Providers in Princess Anne, MD by specialty
• Skilled Nursing Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.