AXIS SUPPORT SERVICES – NPI #1366074312
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

AXIS SUPPORT SERVICES is a community based residential treatment facility located in MIDDLE RIVER, MD. NPPES has assigned the NPI number 1366074312 to AXIS SUPPORT SERVICES on February 07, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AXIS SUPPORT SERVICES below.

NPI Profile for
AXIS SUPPORT SERVICES

NPI Number
1366074312
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AXIS SUPPORT SERVICES
Primary location
9721 LUGUNA RD
MIDDLE RIVER, MD 21220-3769
Phone: (443) 226-3289 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
OLABODE LONGE
CHIEF EXECUTIVE OFFICER
Phone: (109) 298-4494
Updated
Certification Date
Feb 07, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
CONNECT URL
Endpoint Description
EMAIL
Content Type
OTHER
Affiliation
N
Endpoint Location
9721 LUGUNA RD,
MIDDLE RIVER, MD 77025-1669