Aveanna Healthcare

LBN: Pediatric Services Of America, Llc
Aveanna Healthcare is an health care organization with primary practice located at 110 Horizon Dr Ste 100 , Raleigh NC 27615-4927. 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 (919) 481-6712, or through Drake, Shannon via phone (470) 464-8000.

Contact Information

Primary practice address
110 Horizon Dr Ste 100 Raleigh NC 27615-4927
Phone: (919) 481-6712
Fax: (919) 481-9883
Website:
Map and Directions
Authorized official contact:
Name: Drake, Shannon
Phone: (470) 464-8000

Health care specialties

SpecialtyCodeLicense #State
Agencies / Nursing Care 251J00000X HC0828 North Carolina

Profile Details

NPI number 1114955309
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 Jun 28th, 2006
Last updated Feb 26th, 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 1114955309 NPPES
North Carolina MEDICAID 3408666
North Carolina MEDICAID 7100325

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