Aveanna Healthcare

LBN: Pediatria Healthcare, Llc
Aveanna Healthcare is an health care organization with primary practice located at 1167 N Washington St Ste E , Wilkes Barre PA 18705-1856. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Pediatria Healthcare, Llc can be contacted via phone (570) 371-5606, or through Drake, Shannon via phone (470) 464-8000.

Contact Information

Primary practice address
1167 N Washington St Ste E Wilkes Barre PA 18705-1856
Phone: (570) 371-5606
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Drake, Shannon
Phone: (470) 464-8000

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 04250501 Pennsylvania

Profile Details

NPI number 1508168170
LBN Legal business name Pediatria Healthcare, Llc
DBA Doing business as Aveanna Healthcare
Authorized official Drake, Shannon
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2010
Last updated Feb 5th, 2024 - about 10 months 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 1508168170 NPPES
Pennsylvania MEDICAID 101299280 0009
Pennsylvania Other 04250501

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