Aveanna Healthcare

LBN: Pediatric Services Of America, Llc
Aveanna Healthcare is an health care organization with primary practice located at 760 North Drive Suite E & F, Melbourne FL 32934. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Pediatric Services Of America, Llc can be contacted via phone (321) 253-2000, or through Drake, Shannon via phone (470) 464-8000.

Contact Information

Primary practice address
760 North Drive Suite E & F Melbourne FL 32934
Phone: (321) 253-2000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Drake, Shannon
Phone: (470) 464-8000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1164197919
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 Aug 13th, 2021
Last updated Feb 26th, 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 1164197919 NPPES
Florida MEDICAID 884161601

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