PEDIATRIA HEALTHCARE, LLC is a medically fragile infants and children day care clinic center in Shreveport, 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 1922409069. The provider is registered as an organization entity type.
The provider Is Doing Business As Aveanna Healthcare.
The provider's business location address is:
385 BERT KOUNS INDUSTRIAL LOOP
SUITE 600
SHREVEPORT, LA
ZIP 71106-158
Phone: (318) 415-7625
Fax: (318) 415-7630
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 19D2083631 - home health agency with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/9/2014 and was last updated on 2/5/2024.