Organization Active NPI

Axyb Inc.

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1497878862
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AXYB INC.
Practice address
322 El Paso St
San Antonio, TX 78207-5000
Phone
(210) 223-4933
Fax
(210) 223-3788
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Xenia Yvette Bueno, RN
Title
Owner
Phone
(210) 223-4933

Specialties & licenses 1

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

Addresses

Primary practice location

322 El Paso St
San Antonio, TX 78207-5000

Mailing address

322 El Paso St
San Antonio, TX 78207-5000
Phone (210) 223-4933

Other identifiers 1

IdentifierTypeStateIssuer
194094201MedicaidTX

Other names 1

  • AXISHOME HEALTH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070830000207 TX Part A Provider - Home Health Agency 2163515552 Practice locations: San Antonio, TX; San Marcos, TX

Home health agency certification: CCN 679774

Legal name
AXYB INC.
Doing business as
AXIS HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 15, 2008
Last certification
Dec 13, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 20, 2007 in TX
Enrollment address
309 El Paso St
San Antonio, TX 78207-5005

Care Compare: Home health agency

Medicare Care Compare
Listed as
Axis Home HealthCCN 679774
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
May 15, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

322 El Paso St
San Antonio, TX 78207
Phone (201) 223-4933

303 El Paso St
Ste 201
San Antonio, TX 78207
Phone (210) 223-4933

1900 N Ih 35
Ste 101
San Marcos, TX 78666
Phone (512) 392-5166

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Angel Bueno Individual 5% Or Greater Direct Ownership InterestCfo Apr 20, 2007
Corporate Officer Apr 20, 2007 50%
Corporate DirectorCfo Apr 20, 2007 50%
W-2 Managing EmployeeCfo Apr 20, 2007 50%
Yvette Bueno Individual 5% Or Greater Direct Ownership InterestCeo Apr 20, 2007 50%
Corporate OfficerCeo Apr 20, 2007 50%
Corporate DirectorCeo Apr 20, 2007 50%
W-2 Managing EmployeeCeo Apr 20, 2007 50%

Practitioners & affiliated clinicians

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1497878862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 EL PASO ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782075000",
            "telephone_number": "210-223-4933",
            "fax_number": "210-223-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 EL PASO ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782075000",
            "telephone_number": "210-223-4933",
            "fax_number": "210-223-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXYB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "BUENO",
        "authorized_official_first_name": "XENIA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-223-4933",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194094201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AXISHOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.