Organization Active NPI

Axiom Home Health LLC

Doing business as Acara

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1679583777
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010629 Issued in TX
Legal business name
AXIOM HOME HEALTH LLC
Doing business as
Acara
Practice address
9514 Console Dr Ste 200
San Antonio, TX 78229
Phone
(210) 639-9112
Fax
(210) 366-9042
NPI assigned
Aug 9, 2006
Last updated
Mar 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Kerri Pendley
Title
Ceo
Phone
(210) 272-7007

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 010629 TX Primary
Home Infusion Agency 251F00000X
Community Based Hospice Care Agency 251G00000X 10629 TX
Nursing Care Agency 251J00000X
Respite Care 385H00000X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X
Child Physical Disabilities Respite Care 385HR2065X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

9514 Console Dr Ste 200
San Antonio, TX 78229

Mailing address

9514 Console Dr Ste 200
San Antonio, TX 78229-2043
Phone (210) 272-7007

Other practice location 1

1080 Crown Ridge Blvd, Bldg 1
Ste C3
Eagle Pass, TX 78852
Phone (830) 758-1800

Other practice location 2

1512 W Howard Ln
Austin, TX 78728-7709
Phone (210) 272-7007

Other practice location 3

1414 N Meadow Ave Ste 7
Laredo, TX 78040-8701
Phone (210) 272-7007

Other practice location 4

2809 S Expressway 83
Harlingen, TX 78550-7613
Phone (956) 664-9667

Other practice location 5

714 N Bedell Ave
Del Rio, TX 78840-4111
Phone (830) 313-7185

Other identifiers 6

IdentifierTypeStateIssuer
146367101MedicaidTX
2002701-01MedicaidTX
2002701-02MedicaidTX
2002701-03MedicaidTX
74-7169OtherMEDICARE NUMBER
74-1568OtherTXHOSPICE

Other names 1

  • ACARA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070724000028 TX Part A Provider - Home Health Agency 3779684543 Practice locations: Del Rio, TX; Eagle Pass, TX; Harlingen, TX; Laredo, TX; San Antonio, TX
O20141030000499 TX Part A Provider - Hospice 3779684543 Practice locations: Del Rio, TX; San Antonio, TX

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1679583777. Details of each certification follow.

Home health agency certification: CCN 747169

Legal name
AXIOM HOME HEALTH LLC
Doing business as
ACARA
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 20, 2009
Last certification
Mar 2, 2018
Ownership / control type
Proprietary
Organization structure
LLC
Incorporated
May 19, 2006 in TX
Enrollment address
9514 Console Dr
Ste 200
San Antonio, TX 78229-2043

Hospice certification: CCN 741568

Legal name
AXIOM HOME HEALTH LLC
Doing business as
ACARA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 26, 2015
Last certification
Nov 19, 2021
Ownership / control type
Proprietary - Individual
Organization structure
LLCProprietary
Enrollment address
9514 Console Dr
Ste 200
San Antonio, TX 78229-2043

Care Compare: Home health agency

Medicare Care Compare
Listed as
AcaraCCN 747169 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Apr 20, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Care Compare: Hospice

Medicare Care Compare
Listed as
AcaraCCN 741568 · All quality measures
Ownership
For-Profit
Certified
Jun 26, 2015
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1066813Axiom Home Health LLC Dba Acara9514 Console Dr, Ste 200, San Antonio, TX 78229Certificate of waiverApr 2, 2027

National Provider Directory

National Provider Directory

Locations

714 N Bedell Ave
Del Rio, TX 78840
Phone (210) 272-7007

1080 Crown Ridge Blvd
Ste C
Eagle Pass, TX 78852
Phone (210) 272-7007

1080 Crown Ridge Blvd
Ste C3
Eagle Pass, TX 78852
Phone (830) 758-1800

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Mark S. Heaney Individual Operational/Managerial ControlBoard Director Apr 20, 2021
Carrie Coumbs Individual Corporate OfficerCoo Apr 1, 2025
Kerri Pendley Individual Corporate OfficerCeo Jul 8, 2024
Corporate OfficerCeo Oct 10, 2024
Star Mountain Strategic Credit Income Fund IV (Funding), LLC Organization, New York, NY Created for acquisition, LLC, Investment firm, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 20, 2021 15.45%
FH Arrow LLC Organization, New York, NY LLC, Investment firm 5% Or Greater Indirect Ownership Interest Apr 20, 2021 19.55%
Star Mountain Diversified Credit Income Fund III LP Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Apr 20, 2021 45.49%
Star Mountain Sbic Fund LP Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Apr 20, 2021 12.18%
Arrow Home Health LLC Organization, New York, NY Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 20, 2021 100%
Arrow Holdco 1a LLC Organization, New York, NY Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 20, 2021 100%
Peter Brodnitz Individual Operational/Managerial ControlBoard Director Apr 20, 2021
Egor Bulavintsev Individual Operational/Managerial ControlBoard Director Apr 20, 2021
Raju Paulose Individual Corporate OfficerCfo Aug 19, 2024
Christopher Ruth Individual Operational/Managerial ControlBoard Director Apr 20, 2021
Judith Ann Brummet Individual Corporate DirectorDirector of Compliance Jan 6, 2025
W-2 Managing EmployeeAd;SVP Lic, Qa, Reg., Director Jan 6, 2025
Corporate DirectorSVP Licensing, Quality, Regulation Jan 6, 2025
W-2 Managing EmployeeAd; Jan 6, 2025
Dimple Butler Individual Contracted Managing EmployeeMD; Jul 10, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

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.

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": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1679583777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9514 CONSOLE DR STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292043",
            "telephone_number": "210-272-7007",
            "fax_number": "210-530-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9514 CONSOLE DR STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-639-9112",
            "fax_number": "210-366-9042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1080 Crown Ridge Blvd, Bldg 1",
            "address_2": "STE C3",
            "address_purpose": "LOCATION",
            "city": "Eagle Pass",
            "state": "TX",
            "postal_code": "78852",
            "country_code": "US",
            "telephone_number": "830-758-1800",
            "fax_number": "830-758-1874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1512 W Howard Ln",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787287709",
            "country_code": "US",
            "telephone_number": "210-272-7007",
            "fax_number": "210-530-9114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1414 N Meadow Ave Ste 7",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780408701",
            "country_code": "US",
            "telephone_number": "210-272-7007",
            "fax_number": "210-530-9114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2809 S Expressway 83",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785507613",
            "country_code": "US",
            "telephone_number": "956-664-9667",
            "fax_number": "210-530-9114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "714 N Bedell Ave",
            "address_purpose": "LOCATION",
            "city": "Del Rio",
            "state": "TX",
            "postal_code": "788404111",
            "country_code": "US",
            "telephone_number": "830-313-7185",
            "fax_number": "830-422-2263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AXIOM HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "PENDLEY",
        "authorized_official_first_name": "KERRI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-272-7007"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010629",
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "10629",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146367101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002701-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002701-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002701-03",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "74-7169",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPICE",
            "identifier": "74-1568",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACARA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.