Organization
PEDIATRIC SERVICES OF AMERICA, LLC
Active
Other names
Aveanna Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI WHITESIDE (AVP REGULATORY LICENSING)
(770) 248-8740
Entity
Organization
Contact information
Practice address
9105 NE HIGHWAY 99 STE 202, VANCOUVER, WA 98665-8974
(360) 693-7595
(360) 693-7341
Mailing address
400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA 30339-5047
(770) 441-1580
(770) 248-8192
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
152070
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500601760
—
OR
Enumeration date
06/30/2006
Last updated
04/07/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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