Aveanna Healthcare
LBN: Pediatric Services Of America, Llc
Aveanna Healthcare is an health care organization with primary practice located at 3554 Chain Bridge Rd Ste 103 , Fairfax VA 22030-2709. The organization recently has 3 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Nursing Care, Respite Care Facility / Respite Care. Agencies / Nursing Care is the primary health care specialty.
Pediatric Services Of America, Llc can be contacted via phone (703) 873-7672, or through Drake, Shannon via phone (470) 464-8000.
Contact Information
Primary practice address
3554 Chain Bridge Rd Ste 103
Fairfax VA 22030-2709
Phone: (703) 873-7672
Fax: (703) 455-3291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | ||
| Agencies / Nursing Care | 251J00000X | 03-147 | Virginia |
| Respite Care Facility / Respite Care | 385H00000X |
Profile Details
| NPI number | 1740218239 |
|---|---|
| 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 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740218239 | NPPES |
| Virginia | MEDICAID | 8751048 | |
| Virginia | MEDICAID | 4971337 |
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