Active NPI
Aeon Homecare & Hospice, LLC
- Community Based Hospice Care Agency
- Corpus Christi, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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, LLC
- Ownership
- For-Profit
- Certified
- Feb 8, 2022
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2229565 | Aeon Homecare & Hospice, LLC | Certificate of waiver | Jul 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Sheila Tello | 5% Or Greater Direct Ownership Interest | Jul 21, 2014 | 100% |
| Corporate Director | Jul 21, 2014 | 100% | |
| W-2 Managing Employee | Jul 21, 2014 | 100% | |
| Operational/Managerial Control | Jul 21, 2014 | 50% | |
| Adrian Tello | 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.
-
- Occupational Health Nurse Practitioner
- Corpus Christi, TX
- NPI 1639862584
Hospice and Palliative Medicine
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
- Advanced Medical Care P.a.
- Advanced Southern Gastroenterology PLLC
- Advanced Steps Medical Equipment, Inc
- Carl H Aeby, DPM
- Aegis Group Practice LLC
- Affiliated Therapy Group Practice, Inc
- Affiliated Therapy Group Practice, Inc.
- Affiliates in Digestive & Liver Diseases, P.a.
- Affilliated Dermatologists of Corpus Christi P.a.
- Sanjay Agarwal, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.