PEDIATRIA HEALTHCARE, LLC (NPI# 1548557879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548557879 |
| Entity Type | Organization |
| Organization Name | PEDIATRIA HEALTHCARE, LLC |
| Other Organization Name | AVEANNA HEALTHCARE |
| Practice Address |
8101 Washington Ln Suite 102 Wyncote PA 19095-1625 |
| Mailing Address |
400 Interstate North Pkwy Se Ste 1600 Atlanta GA 30339-5047 |
| Practice Telephone | 2153766801 |
| Practice Fax Number | 2153766805 |
| Mailing Telephone | 7702488740 |
| Mailing Fax Number | 7702488192 |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2018-12-03 |
| Authorized Official Name | VICKI WHITESIDE (DIRECTOR, REGULATORY LICENSING) |
| Authorized Official Telephone | 7702488740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM3000X |
Clinic/Center Specialization: Medically Fragile Intants and Children Day Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Aveanna Healthcare | Doing Business As Name - Organization |
| Pediatria HealthCare for Kids | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194120063 | Pediatria Healthcare, LLC | Clinic/Center | 6459 Riverside Dr, Metairie, LA 70003-3206 | 2014-11-04 |
| 1770927345 | Pediatria Healthcare, LLC | Clinic/Center | 1183 Jacks Run Rd, North Versailles, PA 15137-0000 | 2013-04-25 |
| 1134563711 | Pediatria Healthcare, LLC | Home Health | 1185 Jacks Run Rd, S.r. 48, North Versailles, PA 15137-2725 | 2013-04-25 |
| 1508168170 | Pediatria Healthcare, LLC | Home Health | 1167 N Washington St Ste E, Wilkes Barre, PA 18705-1856 | 2010-12-02 |
| 1366684185 | Pediatria Healthcare, LLC | Nursing Care | 2935 N Ashley St Ste 103, Valdosta, GA 31602-1786 | 2009-03-25 |
| 1528210267 | Pediatria Healthcare, LLC | Physical Therapist | 1236 Blountstown Hwy, Building 5, Tallahassee, FL 32304-2715 | 2008-10-14 |
| 1427225523 | Pediatria Healthcare, LLC | Home Health | 7 Harvard St Ste 220, Brookline, MA 02445 | 2008-05-08 |
| 1811162639 | Pediatria Healthcare, LLC | Clinic/Center | 353 Markle Dr, Harrisburg, PA 17111-2762 | 2008-04-23 |
| 1518132406 | Pediatria Healthcare, LLC | Clinic/Center | 3492 Martin Hurst Rd, Tallahassee, FL 32312-1702 | 2008-04-23 |
| 1568633071 | Pediatria Healthcare, LLC | Nursing Care | 2420 Double Churches Rd Ste B, Columbus, GA 31909-2984 | 2008-03-13 |
| Street Address |
8101 WASHINGTON LN SUITE 102 |
| City | WYNCOTE |
| State | PA |
| Zip Code | 19095-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225087877 | Kenneth Weiss | Family Medicine | 8101 Washington Ln, Suite 101, Wyncote, PA 19095-1625 | 2006-05-10 |
| 1043579048 | Marjorie Sue Raddatz | Registered Nurse | 8101 Washington Ln, Suite 102, Wyncote, PA 19095-1625 | 2012-05-10 |
| 1992099139 | Melissa Nicole Harris | Registered Nurse | 8101 Washington Ln, Suite 102, Wyncote, PA 19095-1625 | 2011-06-06 |
| 1790079051 | Meryl O. Daly-parker | Registered Nurse | 8101 Washington Ln, Suite 102, Wyncote, PA 19095-1625 | 2011-06-04 |
| 1649441205 | Pediatria Healthcare, LLC | Home Health | 8101 Washington Ln, Suite 250, Wyncote, PA 19095-1625 | 2008-03-21 |
| 1821037730 | Abington Memorial Hospital | Family Medicine | 8101 Washington Ln, Suite 101, Wyncote, PA 19095-1625 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891359519 | Rufus Ejimonyeugwo | Registered Nurse | 8470 Limekiln Pike, Building 2, Apt. 504, Wyncote, PA 19095 | 2019-04-29 |
| 1205244399 | Eric Vernon Paugh | Physical Therapist | 3201 West Cheltenham Ave., Wyncote, PA 19095 | 2014-08-01 |
| 1922443159 | Jigisha Mukeshkumar Ganatra | Physical Therapist | 8100 Washington Lane, Wyncote, PA 19095 | 2013-05-01 |
| 1174967491 | Rudrappa Pashupathi | Psychiatry & Neurology | 7930 Green Lane, Wyncote, PA 19095 | 2013-04-18 |
| 1144575853 | Wai Shing Yee | Physical Therapist | 3201 Cheltenham Avenue, Suite 207, Wyncote, PA 19095 | 2012-07-18 |
| 1265618631 | James Stephen Chung | Contractor | 8480 Limekiln Pike, Apt 606, Wyncote, PA 19095 | 2008-01-16 |
| 1871611376 | Paulette Susan Hakes | Speech-Language Pathologist | 1201 Church Rd., Wyncote, PA 19095 | 2007-03-26 |
| 1245264860 | Margaret Joyce Laudise | Nurse Practitioner | 414 East Waverly Rd, Wyncote, PA 19095 | 2006-07-10 |
| 1679523724 | Stephen H Margolis | Internal Medicine | 25 Washington Lane, Ste C22, Wyncote, PA 19095 | 2006-05-11 |
| 1184672735 | Cecilia Terese Guerin | Physical Therapist | 3201 Cheltenham Avenue, Suite 207, Wyncote, PA 19095 | 2006-05-05 |
| Find all providers in zip 19095 | ||||
| Taxonomy Code | 261QM3000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medically Fragile Intants and Children Day Care |
| 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.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225656739 | 15 Wesner Lane Pecc Operating Company, Lp | Clinic/Center | 15 Wesner Ln Ste 101, Danville, PA 17821-8023 | 2020-07-10 |
| 1770927345 | Pediatria Healthcare, LLC | Clinic/Center | 1183 Jacks Run Rd, North Versailles, PA 15137-0000 | 2013-04-25 |
| 1154639847 | Frankies World Foundation | Clinic/Center | 1011 Poplar St, Philadelphia, PA 19123-1962 | 2010-09-16 |
| 1811162639 | Pediatria Healthcare, LLC | Clinic/Center | 353 Markle Dr, Harrisburg, PA 17111-2762 | 2008-04-23 |
| 1235277690 | Lauren's House, LLC | Clinic/Center | 17 Creek Pkwy, Suite 200, Boothwyn, PA 19061-3148 | 2007-02-01 |
| 1699813063 | Lauren's House North Philadelphia, LLC | Clinic/Center | 1318 W Clearfield St, Suite 300, Philadelphia, PA 19132-2423 | 2007-02-01 |
| 1285770917 | Children's Cognitive and Behavioral Health Inc. | Clinic/Center | 211 South St Ste 637, Philadelphia, PA 19147-2305 | 2007-01-29 |
| 1467506626 | Helping Hand Childre's Center | Clinic/Center | 2159 Oregon Pike, Lancaster, PA 17601-4604 | 2007-01-23 |
| 1992041495 | Wonder Kids Medical Daycare | Clinic/Center | 647 E Roseville Rd, Lancaster, PA 17601-4235 | 2013-01-02 |
| 1033429279 | Pediatria Healthcare, LLC | Clinic/Center | 1600 Peninsula Dr, 19, Erie, PA 16505-4261 | 2010-10-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.