Axis Home Healthcare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AXIS HOME HEALTHCARE, INC.

Practice address

629 N Huntington St Ste 2546
Medina, OH 44256-1863

Phone

(216) 290-2121

Fax

(216) 290-2122

NPI assigned

Sep 30, 2012

Last updated

Oct 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nick Hinkle

Title

Director of Operations

Phone

(216) 290-2121

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295086254. Details of each certification follow.

• CCN 369027 Home health agency · Active · Details

Home health agency certification: CCN 369027

Legal name

AXIS HOME HEALTHCARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 18, 2013

Last certification

Jul 18, 2013

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Sep 26, 2012 in OH

Enrollment address

629 N Huntington St
Apt 2546
Medina, OH 44256-1879

Listed as

Axis Home Healthcare IncCCN 369027 · All quality measures

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Jul 18, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pamela Adamson, OT

  • Occupational Therapist
  • Dublin, OH
  • NPI 1427820182
  NPD
• Nicholas Hinkle, PT

  • Physical Therapist
  • Medina, OH
  • NPI 1336911361
  NPD
• Jill Ann Wrather, PTA

  • Physical Therapy Assistant
  • Medina, OH
  • NPI 1366215501
  NPD

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jessica Lynne Coleman, D.O.

  • Family Medicine Physician
  • Canton, OH
  • NPI 1609166479

  Home health agency

  Care Compare affiliation
• Rohini Kalisetti, M.D

  • Internal Medicine Physician
  • Millersburg, OH
  • NPI 1326452111

  Home health agency

  Care Compare affiliation
• Brian W. McClain, MD

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1821038043

  Home health agency

  Care Compare affiliation
• Amanda McKinney, APRN, FNP-BC

  • Family Nurse Practitioner
  • Canton, OH
  • NPI 1821858432

  Home health agency

  Care Compare affiliation
• Elizabeth Trent, APRN

  • Family Nurse Practitioner
  • Canton, OH
  • NPI 1265934061

  Home health agency

  Care Compare affiliation
• Davina Whitehurst, APRN

  • Gerontology Nurse Practitioner
  • Canton, OH
  • NPI 1639533433

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1348963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1295086254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 N HUNTINGTON ST STE 2546",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561863",
            "telephone_number": "216-290-2121",
            "fax_number": "216-290-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 N HUNTINGTON ST STE 2546",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561863",
            "telephone_number": "216-290-2121",
            "fax_number": "216-290-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS HOME HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-30",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "HINKLE",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "216-290-2121"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Austin, LPN
• Alfredo Reyes Austriaco, M.D.
• Avenues of Counseling and Mediation
• Cori L Aviles
• Gabrielle Awad
• Daphne Christine Ayers, LISW-S, LICDC-CS, GA
• B G L and Associates, Inc.
• Neneh Haby Ba
• Backbone of Health LLC
• Barbara M. Bacon, LISW-S

• Home Health Agency in Medina, OH
• Providers in Medina, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.