Individual provider Active NPI

Aimee Jo Poe, OWNER

  • Assisted Living Facility
  • Syracuse, UT
National Provider Identifier
1366185175
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
UT000778 Issued in UT
Practice address
1407 S 2000 W
Syracuse, UT 84075-6935
Phone
(801) 776-7000
NPI assigned
Apr 19, 2022
Last updated
Apr 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
UT000778UTMDAssisted Living Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Picnic Creek LLC Assisted Living Facility CurrentSince Apr 24, 2022 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.

Verify at the official NPI Registry.