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Organization

THE PEDIATRIC CONNECTION, INC.

Active
Other names
Aveanna Healthcare, Thrive Skilled Pediatric Care
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW BUCKHALTER (CFO)
(470) 464-8000
Entity
Organization

Contact information

Practice address
100 GATEWAY CENTRE PARKWAY, SUITE 108, NORTH CHESTERFIELD, VA 23235-5174
(804) 200-6250
(855) 602-1010
Mailing address
400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA 30339-5047
(470) 464-8000

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
251J00000X
Nursing Care Agency
385H00000X
Respite Care
0206009101
VA
385H00000X
Respite Care
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30015177800001
VA
Enumeration date
02/08/2008
Last updated
03/06/2026
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