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Organization

TSPC-NM, LLC

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

Provider details

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

Contact information

Practice address
4600 JEFFERSON LANE NE, SUITE C, ALBUQUERQUE, NM 87109-2134
(505) 883-4100
(505) 889-9400
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
251J00000X
Nursing Care Agency
Primary
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
01/10/2018
Last updated
02/05/2026
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