=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790621811
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ASHVERON LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/29/2026
-----------------------------------------------------
Last Update Date | 04/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 431 WALKER ST STE B-3
-----------------------------------------------------
City | AUGUSTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30901-2462
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 706-945-8617
-----------------------------------------------------
Fax | 762-257-5430
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 431 WALKER ST STE B-3
-----------------------------------------------------
City | AUGUSTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30901-2462
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 706-945-8617
-----------------------------------------------------
Fax | 762-257-5430
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | DR. ELLEN VERONICA JONES
-----------------------------------------------------
Credential | DM
-----------------------------------------------------
Telephone | 706-945-8617
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------