Aveanna

LBN: Pediatric Special Care, Inc.
Aveanna is an health care organization with primary practice located at 39205 Country Club Dr Ste C26 , Farmington Hills MI 48331-5718. The organization recently has 5 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Nursing Care, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Agencies / Nursing Care is the primary health care specialty. Pediatric Special Care, Inc. can be contacted via phone (248) 557-4800, or through Drake, Shannon via phone (470) 464-8000.

Contact Information

Primary practice address
39205 Country Club Dr Ste C26 Farmington Hills MI 48331-5718
Phone: (248) 557-4800
Fax: (248) 557-3998
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
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301008368 Michigan
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X

Profile Details

NPI number 1891745808
LBN Legal business name Pediatric Special Care, Inc.
DBA Doing business as Aveanna
Authorized official Drake, Shannon
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated Feb 5th, 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 1891745808 NPPES
Michigan MEDICAID 2934849
Michigan MEDICAID 4360676
Michigan Other 2368214

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