Provider Type Icon

PEDIATRIA HEALTHCARE LLC NPI 1194120063


NPI Information

NPI: 1194120063
Provider Name: PEDIATRIA HEALTHCARE, LLC

Doing Business As: AVEANNA HEALTHCARE

Classification: Clinic/Center - 261QM3000X
Entity Type: Organization

Specialization: Medically Fragile Infants and Children Day Care

CLIA Number: 19D2087138

Address:
6459 RIVERSIDE DR
METAIRIE, LA
ZIP 70003
Phone: (504) 355-5197
Get Directions

PEDIATRIA HEALTHCARE, LLC is a medically fragile infants and children day care clinic center in Metairie, LA. The provider is an entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.). PEDIATRIA HEALTHCARE, LLC NPI is 1194120063. The provider is registered as an organization entity type.
The provider Is Doing Business As Aveanna Healthcare.

The provider's business location address is:

6459 RIVERSIDE DR
METAIRIE, LA
ZIP 70003-206
Phone: (504) 355-5197
Fax: (504) 355-5202

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 19D2087138 - other - pedictric day healthcare with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/4/2014 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM3000XClinic/CenterMedically Fragile Infants and Children Day 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.