Aveanna Healthcare

LBN: Pediatric Services Of America, Llc
Aveanna Healthcare is an health care organization with primary practice located at 4931 Riverside Dr Ste 300B , Macon GA 31210-1193. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Nursing Care. Agencies / Nursing Care is the primary health care specialty. Pediatric Services Of America, Llc can be contacted via phone (478) 841-2772, or through Drake, Shannon via phone (470) 464-8000.

Contact Information

Primary practice address
4931 Riverside Dr Ste 300B Macon GA 31210-1193
Phone: (478) 841-2772
Fax: (478) 745-2712
Website:
Map and Directions
Authorized official contact:
Name: Drake, Shannon
Phone: (470) 464-8000

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 011-268 Georgia
Agencies / Nursing Care 251J00000X 011-R-0026 Georgia

Profile Details

NPI number 1093746430
LBN Legal business name Pediatric Services Of America, Llc
DBA Doing business as Aveanna Healthcare
Authorized official Drake, Shannon
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2006
Last updated Feb 26th, 2024 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093746430 NPPES
Georgia MEDICAID 000426676I
Georgia MEDICAID 675782530A

Popular Providers