AXIOM (NPI# 1780137455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780137455 |
| Entity Type | Organization |
| Organization Name | AXIOM |
| Practice Address |
2400 River Tree Cir Sanford FL 32771-8332 |
| Practice Telephone | 4072521021 |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2016-07-29 |
| Authorized Official Name | DENISE FULMORE (OTR/L) |
| Authorized Official Telephone | 4072521021 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | OT1201 | FL | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Axiom | 6500 S Dayton Street, Apt G 103, Centennial, CO 80111 |
| System for Award Management (SAM) Entities | AXIOM - DIVISION 7, INC. | 1841 Front Street, Lynden, WA 98264-1721 |
| Washington State Corporations | AXIOM - DIVISION 7, INC. | 1841 Front Street, Lynden, WA 98264 |
| Oregon Corporations, Companies and Business Names | AXIOM - DIVISION 7, INC. | 1841 Front St Suite A, Lynden, WA 98264 |
| Washington State Corporations | AXIOM 20 LLC | 19441 145th Trl Se, Yelm, WA 98597-7995 |
| New York State Corporations | AXIOM 25 LTD | 9845 Main Street, #240, Clarence, New York 14031 |
| Colorado Business Entities | Axiom 360 LLC | 9808 Jellison Way, Westminster, CO 80021 |
| Washington State Corporations | AXIOM 5424 LLC | 5424 Ballard Ave Nw Ste 204, Seattle, WA 98107-4046 |
| Colorado Business Entities | AXIOM 7 APPLIED RESEARCH LLC | 3230 Basalt Court, Superior, CO 80027 |
| Connecticut Business Registrations | AXIOM 8, INC. | 421 Wadsworth St., Middletown, CT 06457 |
| Street Address |
2400 RIVER TREE CIR |
| City | SANFORD |
| State | FL |
| Zip Code | 32771-8332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134695224 | Sheena L Grayson | Pharmacist | 4942 W State Rd 46, Suite 1014, Sanford, FL 32771 | 2018-10-16 |
| 1699284299 | Christopher Ryan King | Chiropractor | 1026 Old England Loop, Sanford, FL 32771 | 2017-09-26 |
| 1669991345 | Scarlett Sierra | Counselor | 401 W Seminole Blvd, Sanford, FL 32771 | 2017-09-14 |
| 1881132249 | Tracy Shibla | Nurse Practitioner | 2320 Retreat View Cir, Sanford, FL 32771 | 2017-02-06 |
| 1205387206 | Tabitha Boyd | Behavior Technician | 4136 Geranium Ln #102, Sanford, FL 32771 | 2016-10-14 |
| 1104275874 | Jessica Willis | Nurse Anesthetist, Certified Registered | 108 Temple Dr, Sanford, FL 32771 | 2016-06-03 |
| 1013379957 | Bai Medical LLC | Point of Service | 580 Lexington Green Lane, Sanford, FL 32771 | 2016-03-21 |
| 1710347851 | Melissa T Ramsawak | Nurse Practitioner | 4930 East Lake Mary Boulevard, Sanford, FL 32771 | 2016-03-02 |
| 1811394570 | Tanesha Burns | Counselor | 209 San Carlos Ave Ste 111a, Sanford, FL 32771 | 2014-11-24 |
| 1053717322 | Amy Hertz, Dmd and Minta Lopez-torres, Dmd | Dentist | 5030 West Sr 46, Suite 1018, Sanford, FL 32771 | 2014-11-13 |
| Find all providers in zip 32771 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770725137 | Genesis Rehab | Residential Treatment Facility, Physical Disabilities | 5133 Majestic Woods Place, Sanford, FL 32771 | 2009-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538782271 | Cordell & Associates LLC | Residential Treatment Facility, Physical Disabilities | 2921 Swoop Cir, Kissimmee, FL 34741-7838 | 2020-05-27 |
| 1427688597 | Lashena Jackson | Residential Treatment Facility, Physical Disabilities | 5677 Chirping Way W, Jacksonville, FL 32222-2310 | 2020-01-17 |
| 1518478353 | Derwin T Callahan | Residential Treatment Facility, Physical Disabilities | 113 Bethune St, Lake Placid, FL 33852-5698 | 2017-10-19 |
| 1346759115 | Speedway Plus 2 Car Care Center LLCc | Residential Treatment Facility, Physical Disabilities | 8007 Glenoak Rd., Tampa, FL 33610 | 2017-09-25 |
| 1700300092 | Martinez Group Home, LLC | Residential Treatment Facility, Physical Disabilities | 14918 Sw 15 Ln, Miami, FL 33194 | 2017-07-28 |
| 1962935452 | Sharyn Trapp | Residential Treatment Facility, Physical Disabilities | 1820 N Westmoreland Dr, Orlando, FL 32804-5738 | 2017-04-11 |
| 1942741921 | Endeavor Swallowing Solutions | Residential Treatment Facility, Physical Disabilities | 8826 Shell Island Dr, Jacksonville, FL 32216-4706 | 2017-03-10 |
| 1366993404 | Steve Ewald | Residential Treatment Facility, Physical Disabilities | 5595 Willoughby Dr, Melbourne, FL 32934-2822 | 2016-10-24 |
| 1518413921 | Las Delicias Alf #2 | Residential Treatment Facility, Physical Disabilities | 3840 Nw 184th St, Miami Gardens, FL 33055-2835 | 2016-08-27 |
| 1750746616 | Design Woods Peace Trust | Residential Treatment Facility, Physical Disabilities | 209 Runyon Vlg Apt B, Belle Glade, FL 33430-6038 | 2015-12-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.