Aveanna Healthcare

LBN: Pediatria Healthcare, Llc
Aveanna Healthcare is an health care organization with primary practice located at 1600 Peninsula Dr 19, Erie PA 16505-4261. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medically Fragile Infants and Children Day Care, which is considered as the primary health care specialty. Pediatria Healthcare, Llc can be contacted via phone (814) 833-1042, or through Drake, Shannon via phone (470) 464-8000.

Contact Information

Primary practice address
1600 Peninsula Dr 19 Erie PA 16505-4261
Phone: (814) 833-1042
Fax: (814) 833-2391
Website:
Map and Directions
Authorized official contact:
Name: Drake, Shannon
Phone: (470) 464-8000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medically Fragile Infants and Children Day Care 261QM3000X

Profile Details

NPI number 1033429279
LBN Legal business name Pediatria Healthcare, Llc
DBA Doing business as Aveanna Healthcare
Authorized official Drake, Shannon
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2010
Last updated Feb 5th, 2024 - about 2 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 1033429279 NPPES
Pennsylvania MEDICAID 1021992800011

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