Aveanna Healthcare

LBN: Pediatric Services Of America, Llc
Aveanna Healthcare is an health care organization with primary practice located at 415 Boston Tpke Ste 101 , Shrewsbury MA 01545-3414. 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 (508) 842-5809, or through Drake, Shannon via phone (470) 464-8000.

Contact Information

Primary practice address
415 Boston Tpke Ste 101 Shrewsbury MA 01545-3414
Phone: (508) 842-5809
Fax: (508) 842-4170
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

Profile Details

NPI number 1912055732
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 Jan 8th, 2007
Last updated Feb 26th, 2024 - about 7 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 1912055732 NPPES
Massachusetts MEDICAID 110024470D
Massachusetts Other R03223

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