Aveanna Healthcare

LBN: Pediatric Services Of America, Llc
Aveanna Healthcare is an health care organization with primary practice located at 4530 Park Rd Ste 105, Charlotte NC 28209-3716. The organization recently has only one registered license in Agencies / Nursing Care, which is considered as the primary health care specialty. Pediatric Services Of America, Llc can be contacted via phone (704) 335-9797, or through Drake, Shannon via phone (470) 464-8000.

Contact Information

Primary practice address
4530 Park Rd Ste 105 Charlotte NC 28209-3716
Phone: (704) 335-9797
Fax: (704) 335-9970
Website:
Map and Directions
Authorized official contact:
Name: Drake, Shannon
Phone: (470) 464-8000

Health care specialties

SpecialtyCodeLicense #State
Agencies / Nursing Care 251J00000X HC 0181 North Carolina

Profile Details

NPI number 1346278157
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 Jun 29th, 2006
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 1346278157 NPPES
South Carolina MEDICAID EX0446
South Carolina MEDICAID 3408666
South Carolina MEDICAID 7100144

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