PEDIATRIC HOME NURSING SERVICES (NPI# 1881622199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881622199 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC HOME NURSING SERVICES |
| Other Organization Name | AVEANNA HEALTHCARE |
| Practice Address |
2250 Wehrle Dr Suite 1 Williamsville NY 14221-7037 |
| Mailing Address |
400 Interstate North Pkwy Se Ste 1600 Atlanta GA 30339-5047 |
| Practice Telephone | 7162762123 |
| Practice Fax Number | 7162762129 |
| Mailing Telephone | 1770248874 |
| Mailing Fax Number | 7702488192 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2019-01-02 |
| 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 | 251J00000X | Nursing Care | 0577L003 | NY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01855930 | 05 | |
| NY | 01853763 | 05 |
| Other Name | Type Code |
|---|---|
| Aveanna Healthcare | Doing Business As Name - Organization |
| PSA Healthcare | Doing Business As Name - Organization |
| Street Address |
2250 WEHRLE DR SUITE 1 |
| City | WILLIAMSVILLE |
| State | NY |
| Zip Code | 14221-7037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899861 | Maria Virgil | Licensed Practical Nurse | 2250 Wehrle Dr, Williamsville, NY 14221-7034 | 2020-10-21 |
| 1396344438 | Clifford Neil Nickerson IIi | Licensed Practical Nurse | 2250 Wehrle Dr, Williamsville, NY 14221-7034 | 2020-10-20 |
| 1023643939 | Kristin Marie Foley | Licensed Practical Nurse | 2250 Wehrle Dr, Williamsville, NY 14221-7034 | 2020-03-11 |
| 1407480569 | Amanda Marie Kuczmanski | Licensed Practical Nurse | 2250 Wehrle Dr, Williamsville, NY 14221-7034 | 2020-02-27 |
| 1699307108 | Brittany Chantal Branch | Licensed Practical Nurse | 2250 Wehrle Dr, Williamsville, NY 14221-7034 | 2020-02-12 |
| 1093359754 | Tammy Joanne Hill | Licensed Practical Nurse | 2250 Wehrle Dr, Williamsville, NY 14221-7034 | 2019-11-05 |
| 1134760861 | Jacqui Ann Brandow | Licensed Practical Nurse | 2250 Wehrle Dr, Williamsville, NY 14221-7034 | 2019-10-03 |
| 1174085518 | Anagae Figueroa | Licensed Practical Nurse | 2250 Wehrle Dr, Williamsville, NY 14221-7034 | 2019-04-04 |
| 1952862252 | Kathryn E Harrington | Licensed Practical Nurse | 2250 Wehrle Dr, Williamsville, NY 14221-7034 | 2019-03-28 |
| 1306305073 | Nedda Betu Kabansua | Licensed Practical Nurse | 2250 Wehrle Dr, Williamsville, NY 14221-7034 | 2019-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| 1457961104 | Maria Fagant | Licensed Practical Nurse | 2550 Wehrle Drive Suite 1, Williamsville, NY 14221 | 2020-08-07 |
| 1073136362 | Nicole Marie Mauro | Licensed Practical Nurse | 2550 Wehrle Drive, Williamsville, NY 14221 | 2020-05-21 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1669031365 | Anh Thi Nguyet Phan | Student in an Organized Health Care Education/Training Program | 850 Hopkins Rd., Williamsville, NY 14221 | 2019-06-07 |
| 1801453394 | Buffalo Medical Group, PC | Clinic/Center | 325 Essjay, Williamsville, NY 14221 | 2019-05-21 |
| 1265097265 | Christine Marie Wolniewicz | Dietitian, Registered | 507 Maple Rd., Williamsville, NY 14221 | 2019-05-06 |
| 1750844957 | Myles S Faith | Psychologist | 190 Rollingwood Street, Williamsville, NY 14221 | 2019-04-13 |
| 1902376536 | Shane Michael Stadtmueller | Chiropractor | 5820 Main St. Suite 201, Williamsville, NY 14221 | 2018-11-27 |
| Find all providers in zip 14221 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972664365 | Aurora Home Care, Inc. | Nursing Care | 5782 Main St Ste 1, Williamsville, NY 14221-8219 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181141 | Kristy Lee Rogonia | Nursing Care | 160 2nd St, Buchanan, NY 10511-1412 | 2020-10-16 |
| 1275130569 | Holistic Care Connections LLC | Nursing Care | 3632 Kingsbridge Ave Fl 2, Bronx, NY 10463-2339 | 2020-10-08 |
| 1699380022 | Remo Soriano Jr. | Nursing Care | 28 Trapper Ln, Levittown, NY 11756-5231 | 2020-09-11 |
| 1992310569 | Maria Clear | Nursing Care | 59 Brewster Dr, Carmel, NY 10512-6413 | 2020-09-10 |
| 1992314439 | Philip Boadu | Nursing Care | 140 Donizetti Pl Apt 18f, Bronx, NY 10475-2069 | 2020-07-30 |
| 1497371058 | Regina Arnold | Nursing Care | 590 Mill Rd Apt 1, Rhinebeck, NY 12572-2512 | 2020-06-19 |
| 1063035574 | Fidelity Home Care Inc | Nursing Care | 1829 E 13th St Ste 1b, Brooklyn, NY 11229-2887 | 2020-05-19 |
| 1629699632 | Bonus Salus | Nursing Care | 222 Blair Ave, Bronx, NY 10465-3756 | 2020-04-30 |
| 1003435835 | Cindy Mei | Nursing Care | 1736 Dahill Rd Fl 1, Brooklyn, NY 11223-1751 | 2020-04-12 |
| 1659903581 | Christine Charles, Aprn, Inc. | Nursing Care | 1428 Granada Pl, Far Rockaway, NY 11691-1708 | 2020-02-09 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSVILLE |
| Zip Code | 14221 |
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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.