Organization Active NPI

Aeon Homecare & Hospice, LLC

  • Community Based Hospice Care Agency
  • Corpus Christi, TX
National Provider Identifier
1013318641
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AEON HOMECARE & HOSPICE, LLC
Practice address
719 N Upper Broadway St
Ste 100
Corpus Christi, TX 78401-1911
Phone
(361) 765-9494
NPI assigned
Sep 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sheila Tello, RN
Title
Administrator
Phone
(361) 765-9494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

719 N Upper Broadway St
Ste 100
Corpus Christi, TX 78401-1911

Mailing address

719 N Upper Broadway St
Ste 100
Corpus Christi, TX 78401-1911
Phone (361) 765-9494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190426001694 TX Part A Provider - Hospice 3971845785 Practice locations: Corpus Christi, TX

Hospice certification: CCN 971731

Legal name
AEON HOMECARE & HOSPICE, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 8, 2022
Last certification
Feb 8, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Jul 21, 2014 in TX
Enrollment address
719 N Upper Broadway
Ste 100-a
Corpus Christi, TX 78401-1901

Care Compare: Hospice

Medicare Care Compare
Listed as
Aeon Homecare & Hospice, LLCCCN 971731
Ownership
For-Profit
Certified
Feb 8, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2229565Aeon Homecare & Hospice, LLC719 N Upper Broadway, Ste 100, Corpus Christi, TX 78401Certificate of waiverJul 13, 2027

National Provider Directory

National Provider Directory

Locations

719 N Upper Broadway St
Ste 100A
Corpus Christi, TX 78401
Phone (361) 855-9393

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sheila Tello Individual 5% Or Greater Direct Ownership Interest Jul 21, 2014 100%
Corporate DirectorGoverning Body Memeber Jul 21, 2014 100%
W-2 Managing EmployeeAdmin Don Jul 21, 2014 100%
Operational/Managerial ControlAdmin Jul 21, 2014 50%
Adrian Tello Individual Operational/Managerial Control Jul 21, 2014 25%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1013318641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 N UPPER BROADWAY ST",
            "address_2": "STE 100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784011911",
            "telephone_number": "361-765-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 N UPPER BROADWAY ST",
            "address_2": "STE 100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784011911",
            "telephone_number": "361-765-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEON HOMECARE & HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "TELLO",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "361-765-9494",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.