Organization
EPIC HEALTH SERVICES, INC
Active
Other names
Aveanna Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BUCKHALTER (CFO)
(470) 464-8000
Entity
Organization
Contact information
Practice address
303 FELLOWSHIP RD, MOUNT LAUREL, NJ 08054-1212
(856) 234-5753
Mailing address
400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA 30339-5047
(470) 464-8000
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HP0120800
NJ
251J00000X
Nursing Care Agency
HP0120800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0252051
—
NJ
05
—
0274666
—
NJ
05
—
0438120
—
NJ
Enumeration date
01/15/2010
Last updated
01/27/2025
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