Organization Active NPI

Meon, LLC

  • In Home Supportive Care Agency
  • Conyers, GA
National Provider Identifier
1255695565
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
121-R-0972 Issued in GA
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

Updated by the provider on Jul 2, 2012

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.