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PEDIATRIA HEALTHCARE LLC NPI 1366684185


NPI Information

NPI: 1366684185
Provider Name: PEDIATRIA HEALTHCARE, LLC

Doing Business As: AVEANNA HEALTHCARE

Classification: Nursing Care - 251J00000X
Entity Type: Organization

CLIA Number: 11D1097726

Address:
2935 N ASHLEY ST STE 103
VALDOSTA, GA
ZIP 31602
Phone: (229) 316-1102
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PEDIATRIA HEALTHCARE, LLC is a nursing care in Valdosta, GA. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. PEDIATRIA HEALTHCARE, LLC NPI is 1366684185. The provider is registered as an organization entity type.
The provider Is Doing Business As Aveanna Healthcare.

The provider's business location address is:

2935 N ASHLEY ST STE 103
VALDOSTA, GA
ZIP 31602-786
Phone: (229) 316-1102

The provider's authorized official is Shannon Drake .
The authorized official title is Chief Legal Officer and has the following contact phone number (470) 464-8000.

The CLIA number assigned to this NPI record is 11D1097726 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/25/2009 and was last updated on 2/5/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251J00000XNursing CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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