AXIOM HEALTHCARE OF MOUNT VERNON LLC
NPI 1225865728
Skilled Nursing Facility in Mount Vernon, IL
About Axiom Healthcare Of Mount Vernon Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AXIOM HEALTHCARE OF MOUNT VERNON LLC (NPI 1225865728), doing business as Axiom Healthcare Of Mount Vernon, is a healthcare organization registered as a skilled nursing facility in Mount Vernon, Illinois and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through March 31, 2027 and lists Jennifer Spector, Vp Of Revenue Cycle Management, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 14D2321257
Axiom Healthcare Of Mount Vernon · Mount Vernon, ILOther Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MOUNT VERNON, IL 62864
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 Mount Vernon LLC's NPI number?
The NPI number for Axiom Healthcare Of Mount Vernon LLC is 1225865728. It was assigned to this organization in the NPPES registry on September 18, 2024. The provider is doing business as Axiom Healthcare Of Mount Vernon.
Where is Axiom Healthcare Of Mount Vernon LLC located?
Axiom Healthcare Of Mount Vernon LLC is located at 1700 White St, Mount Vernon, IL 62864. The listed phone number is (618) 242-4075.
What is Axiom Healthcare Of Mount Vernon LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Axiom Healthcare Of Mount Vernon LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2321257) is associated with this NPI, valid through March 31, 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 Mount Vernon LLC was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.