Aveanna Healthcare
LBN: Pediatric Services Of America, Llc
Aveanna Healthcare is an health care organization with primary practice located at 760 North Dr Ste E&F , Melbourne FL 32934-9216. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Medically Fragile Infants and Children Day Care, Ambulatory Health Care Facilities / Rehabilitation. Ambulatory Health Care Facilities / Medically Fragile Infants and Children Day Care is the primary health care specialty.
Pediatric Services Of America, Llc can be contacted via phone (321) 253-2000, or through Drake, Shannon via phone (470) 464-8000.
Contact Information
Primary practice address
760 North Dr Ste E&F
Melbourne FL 32934-9216
Phone: (321) 253-2000
Fax: (321) 259-6276
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Medically Fragile Infants and Children Day Care | 261QM3000X | PPC6007096 | Florida |
| Ambulatory Health Care Facilities / Rehabilitation | 261QR0400X |
Profile Details
| NPI number | 1952333122 |
|---|---|
| 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952333122 | NPPES |
| Florida | MEDICAID | 685757496 | |
| Florida | MEDICAID | 884161601 | |
| Florida | MEDICAID | 300203900 |
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