Aveanna Healthcare

LBN: Pediatric Services Of America, Llc
Aveanna Healthcare is an health care organization with primary practice located at 3554 Chain Bridge Rd Ste 103 , Fairfax VA 22030-2709. The organization recently has 3 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Nursing Care, Respite Care Facility / Respite Care. Agencies / Nursing Care is the primary health care specialty. Pediatric Services Of America, Llc can be contacted via phone (703) 873-7672, or through Drake, Shannon via phone (470) 464-8000.

Contact Information

Primary practice address
3554 Chain Bridge Rd Ste 103 Fairfax VA 22030-2709
Phone: (703) 873-7672
Fax: (703) 455-3291
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 03-147 Virginia
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1740218239
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 30th, 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 1740218239 NPPES
Virginia MEDICAID 8751048
Virginia MEDICAID 4971337

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