Organization
EPIC HEALTH SERVICES (PA), LLC
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
1 BELMONT AVE STE 200, BALA CYNWYD, PA 19004-1603
(215) 884-3737
(215) 884-3766
Mailing address
400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA 30339-5047
(470) 464-8000
(770) 248-8192
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
02410501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005516000
INDEPENDENCE BLUE CROSS
PA
01
—
0005575000
INDEPENDENCE BLUE CROSS
PA
05
—
1014133110001
—
PA
Enumeration date
08/09/2006
Last updated
11/04/2025
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