Healthcare Provider Details

I. General information

NPI: 1235953423
Provider Name (Legal Business Name): AXZONS HOMECARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2024
Last Update Date: 11/13/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17842 EASTMOOR ST
ATHENS AL
35611-2259
US

IV. Provider business mailing address

70 E SUNRISE HWY STE 500
VALLEY STREAM NY
11581-1233
US

V. Phone/Fax

Practice location:
  • Phone: 866-429-9667
  • Fax: 866-429-9667
Mailing address:
  • Phone: 866-429-9667
  • Fax: 866-429-9667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. SANDEEP KALRA
Title or Position: DIRECTOR
Credential: MBBS
Phone: 866-429-9667