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
11 N CENTRAL AVE STE 140, STAUNTON, VA 24401-4212
(804) 675-4550
(434) 227-5703
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
497431
VA
163WP0200X
Pediatric Registered Nurse
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30015177800005
—
VA
05
—
30015177800012
—
VA
Enumeration date
03/21/2007
Last updated
03/06/2026
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