Organization
OPTUM INFUSION SERVICES 500, INC.
Active
Parent organization
AXELACARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AXELACARE, LLC
Authorized official
KEVIN EUGENE BURR (SECRETARY)
(712) 310-4701
Entity
Organization
Contact information
Practice address
1893 GENERAL GEORGE PATTON DRIVE, SUITE 100, FRANKLIN, TN 37067-2655
(629) 221-3000
(629) 221-3050
Mailing address
1 OPTUM CIR STE 100, EDEN PRAIRIE, MN 55344-2503
(800) 328-5979
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
12/04/2024
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