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PEDIATRIC SERVICES OF AMERICA LLC NPI 1659035442


NPI Information

NPI: 1659035442
Provider Name: PEDIATRIC SERVICES OF AMERICA, LLC

Doing Business As: AVEANNA HEALTHCARE

Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
2114 AIRPORT BLVD STE 2000
PENSACOLA, FL
ZIP 32504
Phone: (850) 444-4365
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PEDIATRIC SERVICES OF AMERICA, LLC is a day training developmentally disabled services in Pensacola, FL. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. PEDIATRIC SERVICES OF AMERICA, LLC NPI is 1659035442. The provider is registered as an organization entity type.
The provider Is Doing Business As Aveanna Healthcare.

The provider's business location address is:

2114 AIRPORT BLVD STE 2000
PENSACOLA, FL
ZIP 32504-911
Phone: (850) 444-4365

The provider's authorized official is David Afshar .
The authorized official title is Cfo and has the following contact phone number (470) 464-8000.

The enumeration date for this NPI number is 10/27/2021 and was last updated on 2/9/2022.


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
1251C00000XDay Training, Developmentally Disabled ServicesYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1650448596MEDICAIDFLORIDA

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

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