Aevum Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AEVUM HOSPICE LLC

Practice address

1302B Marsh St
San Luis Obispo, CA 93401-3316

Phone

(805) 465-2492

Fax

(805) 465-2492

NPI assigned

Mar 26, 2025

Last updated

May 16, 2025By 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

Corina Segundo

Title

Administrator

Phone

(805) 465-2492

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639971849. Details of each certification follow.

• CCN D61571 Hospice · Active · Details

Hospice certification: CCN D61571

Legal name

AEVUM HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 30, 2025

Last certification

Dec 11, 2025

Organization structure

LLCProprietary

Enrollment address

1302B Marsh St
San Luis Obispo, CA 93401-3316

Locations

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Katie Anne Colvard, NP-C

  • Family Nurse Practitioner
  • Paso Robles, CA
  • NPI 1477082188

  W-2 Managing Employee

  CMS ownership
• Connor Vanderveer Johnson, MD

  • Hospitalist Physician
  • Emeryville, CA
  • NPI 1780010603

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Katie Anne Colvard, NP-C

  • Family Nurse Practitioner
  • Paso Robles, CA
  • NPI 1477082188

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1639971849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302B MARSH ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013316",
            "telephone_number": "805-465-2492",
            "fax_number": "805-465-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302B MARSH ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013316",
            "telephone_number": "805-465-2492",
            "fax_number": "805-465-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEVUM HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "SEGUNDO",
        "authorized_official_first_name": "CORINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-465-2492"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.