Organization
EPIC HEALTH SERVICES, INC.
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
77 BRANT AVE, SUITE 320, CLARK, NJ 07066-1560
(973) 510-0120
(973) 928-0254
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
103K00000X
Behavior Analyst
HP0120800
NJ
251E00000X
Home Health Agency
Primary
HP0120800
NJ
251J00000X
Nursing Care Agency
HP0120800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0252021
—
NJ
05
—
0274666
—
NJ
Enumeration date
08/25/2014
Last updated
01/27/2025
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