Axis Home Healthcare, Inc.
Organization Active NPI Home Health Agency · Medina, OH
NPI 1295086254 · NPPES record last updated Oct 24, 2023
Key facts
- NPI
- 1295086254
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 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
- Organization subpart
- No
Authorized official
- Name
- Nick Hinkle
- Title
- Director of Operations
- Phone
- (216) 290-2121
Practitioners 3
-
Pamela Adamson, OT
-
Nicholas Hinkle, PT
-
Jill Ann Wrather, PTA
Affiliated clinicians 6
-
Jessica Lynne Coleman, D.O.
-
Rohini Kalisetti, M.D
-
Brian W. McClain, MD
-
Amanda McKinney, APRN, FNP-BC
-
Elizabeth Trent, APRN
-
Davina Whitehurst, APRN
Medicare Care Compare: Home health agency
- Listed as
- Axis Home Healthcare Inc
- Overall star rating
- ★★☆☆☆ 2 of 5
- Ownership
- Proprietary
- Certified
- Jul 18, 2013
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2058631 | Axis Home Healthcare, Inc | Certificate of waiver | Jul 23, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
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
- Corporation · Proprietary
- Incorporated
- Sep 26, 2012 in OH
- Enrollment address
- 629 N Huntington St
Apt 2546
Medina, OH 44256-1879
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Christian Vadas |
5% Or Greater Direct Ownership Interest | Sep 1, 2025 | 100% |
| Corporate Officer |
Sep 9, 2025 | 100% | |
| W-2 Managing Employee |
Sep 9, 2025 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121121000182 | OH | Part a Provider - Home Health Agency | 3971754904 | Practice locations: Medina, OH |
National Provider Directory
Locations
8748 Brecksville Rd
Ste 204
Brecksville, OH 44141
Phone (347) 762-2663
600 E Smith Rd
Ste 8
Medina, OH 44256
629 N Huntington St
Ste 2546
Medina, OH 44256
Phone (216) 290-2121
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
629 N Huntington St Ste 2546
Medina, OH 44256-1863
Mailing address
629 N Huntington St Ste 2546
Medina, OH 44256-1863
Phone (216) 290-2121
Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.