Organization
EPIC PEDIATRIC THERAPY, LP
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
915 W EXCHANGE PKWY STE 100, ALLEN, TX 75013-7018
(214) 547-1571
(817) 789-6849
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
013311
TX
261QR0400X
Rehabilitation Clinic/Center
648140002
TX
261QR0400X
Rehabilitation Clinic/Center
648140005
TX
261QR0400X
Rehabilitation Clinic/Center
648140006
TX
261QR0400X
Rehabilitation Clinic/Center
648140009
TX
261QR0400X
Rehabilitation Clinic/Center
648140015
TX
261QR0400X
Rehabilitation Clinic/Center
648140017
TX
261QR0400X
Rehabilitation Clinic/Center
Primary
648140018
TX
261QR0400X
Rehabilitation Clinic/Center
648140021
TX
261QR0400X
Rehabilitation Clinic/Center
648140022
TX
261QR0400X
Rehabilitation Clinic/Center
648140023
TX
261QR0400X
Rehabilitation Clinic/Center
648140024
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149984001
—
TX
05
—
207164901
—
TX
Enumeration date
07/01/2006
Last updated
01/27/2025
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