Aveanna Heatlhcare

LBN: Pediatric Services Of America, Llc
Aveanna Heatlhcare is an health care organization with primary practice located at 8659 Baypine Rd Ste 102, Jacksonville FL 32256-7577. 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 (904) 730-2200, or through Drake, Shannon via phone (470) 464-8000.

Contact Information

Primary practice address
8659 Baypine Rd Ste 102 Jacksonville FL 32256-7577
Phone: (904) 730-2200
Fax: (904) 730-0630
Website:
Map and Directions
Authorized official contact:
Name: Drake, Shannon
Phone: (470) 464-8000

Health care specialties

SpecialtyCodeLicense #State
Agencies / Nursing Care 251J00000X HHA 20798096 Florida

Profile Details

NPI number 1780615047
LBN Legal business name Pediatric Services Of America, Llc
DBA Doing business as Aveanna Heatlhcare
Authorized official Drake, Shannon
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2006
Last updated Feb 26th, 2024 - about last year

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 1780615047 NPPES
Florida MEDICAID 678778965
Florida MEDICAID 650448500
Florida MEDICAID 681187696

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