Pediatria Healthcare, Llc

LBN: Pediatria Healthcare, Llc
Pediatria Healthcare, Llc is an health care organization with primary practice located at 1967 Lakeside Pkwy Suite 420, Tucker GA 30084-5867. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medically Fragile Infants and Children Day Care, which is considered as the primary health care specialty. Pediatria Healthcare, Llc can be contacted via phone (770) 414-0055, or through Kilinski, Robbie via phone (770) 840-1966.

Contact Information

Primary practice address
1967 Lakeside Pkwy Suite 420 Tucker GA 30084-5867
Phone: (770) 414-0055
Fax: (770) 414-0045
Website:
Map and Directions
Authorized official contact:
Name: Kilinski, Robbie
Phone: (770) 840-1966

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medically Fragile Infants and Children Day Care 261QM3000X CCLC-18589 Georgia

Profile Details

NPI number 1457539090
LBN Legal business name Pediatria Healthcare, Llc
DBA Doing business as
Authorized official Kilinski, Robbie
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 6th, 2008
Last updated May 22nd, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457539090 NPPES
Georgia MEDICAID 656991060B

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