Aeon Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AEON HOSPICE LLC

Practice address

11205 Alpharetta Hwy Ste E3
Roswell, GA 30076-5646

Phone

(678) 462-1339

NPI assigned

Nov 19, 2020

Last updated

Nov 19, 2020By 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

Prakash Gopalakrishnan

Title

Organizer

Phone

(678) 462-1339

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1265035513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11205 ALPHARETTA HWY STE E3",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765646",
            "telephone_number": "678-462-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11205 ALPHARETTA HWY STE E3",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765646",
            "telephone_number": "678-462-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEON HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "GOPALAKRISHNAN",
        "authorized_official_first_name": "PRAKASH",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "678-462-1339"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ops@aeonhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11205 Alpharetta Hwy Ste E3",
            "city": "Roswell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300765646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.