PEDIATRIA HEALTHCARE LLC NPI 1518132406

NPI Information

NPI: 1518132406
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

Address:
3492 MARTIN HURST RD
TALLAHASSEE, FL
ZIP 32312
Phone: (850) 701-3920
Get Directions

PEDIATRIA HEALTHCARE, LLC is a medically fragile infants and children day care clinic center in Tallahassee, FL. 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 1518132406. The provider is registered as an organization entity type.
The provider Is Doing Business As Aveanna Healthcare.

The provider's business location address is:

3492 MARTIN HURST RD
TALLAHASSEE, FL
ZIP 32312-702
Phone: (850) 701-3920
Fax: (850) 701-3924

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 enumeration date for this NPI number is 4/23/2008 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
1	261QM3000X	Clinic/Center	Medically Fragile Infants and Children Day Care	60080986	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	240024300	MEDICAID	FLORIDA

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

NPI Synchronization or Removal

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