Healthcare Provider Details

I. General information

NPI: 1790621811
Provider Name (Legal Business Name): ASHVERON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

431 WALKER ST STE B-3
AUGUSTA GA
30901-2462
US

IV. Provider business mailing address

431 WALKER ST STE B-3
AUGUSTA GA
30901-2462
US

V. Phone/Fax

Practice location:
  • Phone: 706-945-8617
  • Fax: 762-257-5430
Mailing address:
  • Phone: 706-945-8617
  • Fax: 762-257-5430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. ELLEN VERONICA JONES
Title or Position: ADMINISTRATOR
Credential: DM
Phone: 706-945-8617