| Organization Name: | AXIOM HOME HEALTH INC. |
| NPI Number: | 1679583777 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MOHAMED HUSSIEN GHANNAM (OWNER / CEO) |
| Mailing Address: | 5002 West Ave San Antonio |
| State: | TX US |
| Postal Code: | 782132712 |
| Phone Number: | 2106399112 |
| Fax Number: | 2103669042 |
| NPI Enumeration Date: | 08/09/2006 |
| NPI Last Update Date: | 07/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 10629 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |