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NPI 1679583777

NPI 1679583777 : AXIOM HOME HEALTH LLC : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1679583777
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    Entity Type          |    Organization 
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    Legal Business Name  |    AXIOM HOME HEALTH LLC 
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Dates
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    Enumeration Date     |    08/09/2006
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    Last Update Date     |    12/03/2025
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Provider Practice Location Address
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    Address Line         |    9514 CONSOLE DR STE 200 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78229
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    Country              |    US
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    Telephone            |    210-639-9112
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    Fax                  |    210-366-9042
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Provider Business Mailing Address
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    Address Line         |    9514 CONSOLE DR STE 200 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78229-2043
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    Country              |    US
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    Telephone            |    210-272-7007
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    Fax                  |    210-530-9114
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Authorized Official
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    Title or Position    |    SVP LICENSING, QUALITY, REGULATORY
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    Name                 |     JUDITH  BRUMMET 
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    Credential           |    BSN-RN, MHA
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    Telephone            |    641-660-0950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251J00000X
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    Taxonomy Name        |    Nursing Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    385H00000X
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    Taxonomy Name        |    Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    385HR2060X
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    Taxonomy Name        |    Child Intellectual and/or Developmental Disabilities Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    251F00000X
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    Taxonomy Name        |    Home Infusion Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    251G00000X
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    Taxonomy Name        |    Community Based Hospice Care Agency
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    License Number       |    10629
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    License Number State |    TX
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Taxonomy #6
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    Taxonomy Code        |    385HR2065X
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    Taxonomy Name        |    Child Physical Disabilities Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    010629
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    License Number State |    TX
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