Aevum Hospice Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AEVUM HOSPICE INC.

Doing business as

Aevum Hospice

Practice address

461B Hill St
San Luis Obispo, CA 93405-2325

Phone

(805) 709-2242

Fax

(805) 586-3427

NPI assigned

Oct 25, 2021

Last updated

Oct 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Zoltan Crisitan Soo

Title

President/Ceo

Phone

(805) 709-2232

Specialties & licenses 1

Addresses

Other names 1

• Aevum Hospice Doing business as

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1073277257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461B HILL ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934052325",
            "telephone_number": "805-709-2242",
            "fax_number": "805-586-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461B HILL ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934052325",
            "telephone_number": "805-709-2242",
            "fax_number": "805-586-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEVUM HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "SOO",
        "authorized_official_first_name": "ZOLTAN",
        "authorized_official_middle_name": "CRISITAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "805-709-2232",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aevum Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.