Active NPI
Meon, LLC
- In Home Supportive Care Agency
- Conyers, GA
National Provider Identifier
1255695565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 121-R-0972
- Legal business name
- MEON, LLC
- Practice address
- 1255 Commercial Dr SW
Suite a
Conyers, GA 30094-5988 - Phone
- (770) 602-0500
- Fax
- (770) 760-9911
- NPI assigned
- Jul 2, 2012
- 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
- Mr. Edward Ukaonu, CSA
- Title
- Ceo
- Phone
- (770) 602-0500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 121-R-0972 | GA | Primary |
Addresses
Primary practice location
1255 Commercial Dr SW
Suite a
Conyers, GA 30094-5988
Mailing address
1255 Commercial Dr SW
Suite a
Conyers, GA 30094-5988
Phone (770) 602-0500
Other names 1
- FirstLight HomeCare of East Atlanta
National Provider Directory
National Provider DirectoryLocations
1255 Commercial Dr SW
Ste A
Conyers, GA 30094
Phone (770) 602-0500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341187200000",
"number": "1255695565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 COMMERCIAL DR SW",
"address_2": "SUITE A",
"city": "CONYERS",
"state": "GA",
"postal_code": "300945988",
"telephone_number": "770-602-0500",
"fax_number": "770-760-9911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 COMMERCIAL DR SW",
"address_2": "SUITE A",
"city": "CONYERS",
"state": "GA",
"postal_code": "300945988",
"telephone_number": "770-602-0500",
"fax_number": "770-760-9911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEON, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-02",
"last_updated": "2012-07-02",
"status": "A",
"authorized_official_last_name": "UKAONU",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "770-602-0500",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CSA"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "GA",
"license": "121-R-0972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FirstLight HomeCare of East Atlanta",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.