1. Home
  2. Directory
  3. Illinois
  4. Harrisburg
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

AXIOM HEALTHCARE OF HARRISBURG LLC
NPI 1144057647
Durable Medical Equipment & Medical Supplies in Harrisburg, IL

Active since September 18, 2024CLIA 14D2321667 · Waiver
1000 W SLOAN ST, HARRISBURG, IL 62946(618) 252-3905 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 4, 2025, Sep 18, 2024 (2 updates tracked since 2024).

About Axiom Healthcare Of Harrisburg Llc NPPES

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

AXIOM HEALTHCARE OF HARRISBURG LLC (NPI 1144057647), doing business as Axiom Healthcare Of Harrisburg, is a healthcare organization registered as a durable medical equipment & medical supplies in Harrisburg, Illinois and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through April 7, 2027 and lists Jennifer Spector, Vp Of Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1144057647
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameAXIOM HEALTHCARE OF HARRISBURG LLC
Location Address1000 W SLOAN STHarrisburg, IL 62946-2234
Mailing Address4655 W Chase AveLincolnwood, IL 60712-1605 · (847) 262-3800
Phone(618) 252-3905
Organization SubpartNo
Authorized OfficialJennifer SpectorVp Of Revenue Cycle Management · (847) 262-3800
Enumeration DateSeptember 18, 2024
Last NPPES UpdateNovember 4, 20252 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
✔ NPI 1144057647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1000 W SLOAN ST, Harrisburg, IL 62946
Open in Google Maps ↗

Other Names 1

Doing Business AsAxiom Healthcare Of Harrisburg

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2321667

Axiom Healthcare Of Harrisburg · Harrisburg, IL
Active · expires Apr 7, 2027
CLIA Number14D2321667
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateApril 8, 2025
Certificate Expiration DateApril 7, 2027
Laboratory DirectorTammy Jackson
Laboratory Phone(618) 252-3905
Laboratory LocationAxiom Healthcare Of Harrisburg1000 W Sloan St, Harrisburg, IL 62946
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

PETERSEN HEALTH CARE VII LLC
Skilled Nursing Facility
1000 W SLOAN ST
HARRISBURG, IL 62946
Saline County (618) 252-0351
AXIOM HEALTHCARE OF HARRISBURG LLC
Skilled Nursing Facility
1000 W SLOAN ST
HARRISBURG, IL 62946
Saline County (618) 252-3905

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 Axiom Healthcare Of Harrisburg LLC's NPI number?

The NPI number for Axiom Healthcare Of Harrisburg LLC is 1144057647. It was assigned to this organization in the NPPES registry on September 18, 2024. The provider is doing business as Axiom Healthcare Of Harrisburg.

Where is Axiom Healthcare Of Harrisburg LLC located?

Axiom Healthcare Of Harrisburg LLC is located at 1000 W Sloan St, Harrisburg, IL 62946. The listed phone number is (618) 252-3905.

What is Axiom Healthcare Of Harrisburg LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Axiom Healthcare Of Harrisburg LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2321667) is associated with this NPI, valid through April 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Axiom Healthcare Of Harrisburg LLC was last updated on November 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.