Aveanna Healthcare

LBN: Pediatric Services Of America, Llc
Aveanna Healthcare is an health care organization with primary practice located at 126 Integra Breeze Ln Ste 3B , Daytona Beach FL 32117-5554. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Pediatric Services Of America, Llc can be contacted via phone (386) 304-0702, or through Afshar, David via phone (470) 464-8000.

Contact Information

Primary practice address
126 Integra Breeze Ln Ste 3B Daytona Beach FL 32117-5554
Phone: (386) 304-0702
Fax: (386) 304-0703
Website:
Map and Directions
Authorized official contact:
Name: Afshar, David
Phone: (470) 464-8000

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1760146559
LBN Legal business name Pediatric Services Of America, Llc
DBA Doing business as Aveanna Healthcare
Authorized official Afshar, David
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2021
Last updated Feb 9th, 2022 - about 4 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 1760146559 NPPES
Florida MEDICAID 681259796

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