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AXIS HOME PCA AGENCY INC
NPI 1063011310
Home Health Aide in Minneapolis, MN

Active since October 19, 2020
2417 FREMONT AVE S, MINNEAPOLIS, MN 55405(612) 354-7714 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2025, Oct 19, 2020 (2 updates tracked since 2020).

About Axis Home Pca Agency Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AXIS HOME PCA AGENCY INC (NPI 1063011310) is a healthcare organization registered as a home health aide in Minneapolis, Minnesota and active in the NPI registry since October 2020. The organization lists Cubtan Nur, Manager, as its authorized official.

NPPES Registry Identity

NPI1063011310
Entity TypeOrganization
Primary Taxonomy374U00000X
Legal Business NameAXIS HOME PCA AGENCY INC
Location Address2417 FREMONT AVE SMinneapolis, MN 55405-2648
Mailing Address2417 Fremont Ave SMinneapolis, MN 55405-2648 · (612) 354-7714
Phone(612) 354-7714
Organization SubpartNo
Authorized OfficialCubtan NurManager · (612) 354-7714
Enumeration DateOctober 19, 2020
Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1063011310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
2417 FREMONT AVE S, Minneapolis, MN 55405
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Other Names 1

Doing Business AsAxis Home Pca Agency Inc

Other Identifiers 1

Other2174625000MN · Umpi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AXIS HOME PCA AGENCY INC
Home Health
2417 FREMONT AVE S
MINNEAPOLIS, MN 55405
Hennepin County (612) 354-7714
CUBTAN ABDI NUR
Community Health Worker
2417 FREMONT AVE S
MINNEAPOLIS, MN 55405
Hennepin County (612) 245-0547

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Axis Home Pca Agency Inc's NPI number?

The NPI number for Axis Home Pca Agency Inc is 1063011310. It was assigned to this organization in the NPPES registry on October 19, 2020.

Where is Axis Home Pca Agency Inc located?

Axis Home Pca Agency Inc is located at 2417 Fremont Ave S, Minneapolis, MN 55405. The listed phone number is (612) 354-7714.

What is Axis Home Pca Agency Inc's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Axis Home Pca Agency Inc was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.