Axt Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

AXT HOME CARE LLC

Practice address

36 E Locust St
Wilmington, OH 45177-2323

Phone

(937) 240-1992

NPI assigned

Jul 2, 2021

Organization subpart

Yes

Parent organization

AXT HOME CARE LLCAs reported in NPPES

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

Authorized official

Name

Travis Dunham

Title

Director

Phone

(937) 240-1992

Specialties & licenses 1

Addresses

Other names 1

• Visiting Angels of Wilmington OH Doing business as

Part of

Axt Home Care LLC

Locations

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1811568611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 E LOCUST ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772323",
            "telephone_number": "937-240-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 E LOCUST ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772323",
            "telephone_number": "937-240-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXT HOME CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AXT HOME CARE LLC",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "DUNHAM",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "937-240-1992"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels of Wilmington OH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tamika Trenae Arnold, RN
• Maria Theresa Artin, CT
• Emily Nicole Artz Pearson, DO
• Philip Constandi Aschi, DO
• Assurance Health Wilmington, LLC
• Tresa Back
• Ashley M Bailey, RA
• Karen Bailey
• Lisa Ellen Bailey
• Dustin Bainter

• In Home Supportive Care Agency in Wilmington, OH
• Providers in Wilmington, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.