Aveanna Healthcare

LBN: Pediatric Services Of America, Llc
Aveanna Healthcare is an health care organization with primary practice located at 126 Integra Breeze Ln Ste 3B , Daytona Beach FL 32117-5554. 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 (386) 304-0702, or through Drake, Shannon via phone (470) 464-8000.

Contact Information

Primary practice address
126 Integra Breeze Ln Ste 3B Daytona Beach FL 32117-5554
Phone: (386) 304-0702
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Drake, Shannon
Phone: (470) 464-8000

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / Nursing Care 251J00000X HHA220370961 Florida

Profile Details

NPI number 1629000914
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 7th, 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 1629000914 NPPES
Florida MEDICAID 650786700
Florida MEDICAID 680444679
Florida MEDICAID 681259796

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