Organization
PEDIATRIC HOME NURSING 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
2250 WEHRLE DR, SUITE 1, WILLIAMSVILLE, NY 14221-7037
(716) 276-2123
(716) 276-2129
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
251J00000X
Nursing Care Agency
Primary
0577L003
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01853763
—
NY
05
—
01855930
—
NY
Enumeration date
06/28/2006
Last updated
01/27/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us