Active NPI
Aimee Jo Poe, OWNER
- Assisted Living Facility
- Syracuse, UT
National Provider Identifier
1366185175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- UT000778
- Practice address
- 1407 S 2000 W
Syracuse, UT 84075-6935 - Phone
- (801) 776-7000
- NPI assigned
- Apr 19, 2022
- Last updated
- Apr 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | UT000778 | UT | Primary |
Addresses
Primary practice location
1407 S 2000 W
Syracuse, UT 84075-6935
Mailing address
1407 S 2000 W
Syracuse, UT 84075-6935
Phone (801) 776-7000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aimee@beehivehomes.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UT000778 | UT | MD | Assisted Living Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Picnic Creek LLC | Assisted Living Facility | Current | Accepting new patients |
Locations
1407 S 2000 W
Syracuse, UT 84075
Phone (801) 776-7000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1366185175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 S 2000 W",
"city": "SYRACUSE",
"state": "UT",
"postal_code": "840756935",
"telephone_number": "801-776-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 S 2000 W",
"city": "SYRACUSE",
"state": "UT",
"postal_code": "840756935",
"telephone_number": "801-776-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POE",
"first_name": "AIMEE",
"middle_name": "JO",
"credential": "OWNER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-19",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "UT",
"license": "UT000778",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aimee@beehivehomes.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1407 S 2000 W",
"city": "Syracuse",
"state": "UT",
"country_code": "US",
"postal_code": "840756935",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Syracuse, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.