Aveanna Healthcare
LBN: Pediatric Home Care, Inc.
Aveanna Healthcare is an health care organization with primary practice located at 1120 North Mullan Road Suite 206, Spokane Valley WA 99206-4074. The organization recently has 4 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Agencies / Home Health, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Home Infusion Therapy Pharmacy. Agencies / Home Health is the primary health care specialty.
Pediatric Home Care, Inc. can be contacted via phone (509) 368-9252, or through Drake, Shannon via phone (470) 464-8000.
Contact Information
Primary practice address
1120 North Mullan Road Suite 206
Spokane Valley WA 99206-4074
Phone: (509) 368-9252
Fax: (509) 368-9594
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PF00057031 | Washington |
| Agencies / Home Health | 251E00000X | 00000344 | Washington |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | PF00057031 | Washington |
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X | PF00057031 | Washington |
Profile Details
| NPI number | 1134178098 |
|---|---|
| LBN Legal business name | Pediatric Home Care, Inc. |
| DBA Doing business as | Aveanna Healthcare |
| Authorized official | Drake, Shannon |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 9th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134178098 | NPPES |
| Idaho | MEDICAID | 806198700 | |
| Idaho | MEDICAID | 0213350 | |
| Idaho | MEDICAID | 6025159 | |
| Idaho | MEDICAID | 7331622 | |
| Idaho | MEDICAID | 806189200 | |
| Idaho | MEDICAID | 9051780 | |
| Idaho | MEDICAID | 0561646 |
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