Aveanna Healthcare

LBN: Pediatric Services Of America, Llc
Aveanna Healthcare is an health care organization with primary practice located at 9105 Ne Highway 99 Ste 202 , Vancouver WA 98665-8974. 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 (360) 693-7595, or through Whiteside, Vicki via phone (770) 248-8740.

Contact Information

Primary practice address
9105 Ne Highway 99 Ste 202 Vancouver WA 98665-8974
Phone: (360) 693-7595
Fax: (360) 693-7341
Website:
Map and Directions
Authorized official contact:
Name: Whiteside, Vicki
Phone: (770) 248-8740

Health care specialties

SpecialtyCodeLicense #State
Agencies / Nursing Care 251J00000X 152070 Oregon

Profile Details

NPI number 1811925308
LBN Legal business name Pediatric Services Of America, Llc
DBA Doing business as Aveanna Healthcare
Authorized official Whiteside, Vicki
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2006
Last updated Apr 7th, 2021 - about 3 years 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 1811925308 NPPES
Oregon MEDICAID 500601760

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