Organization
PEDIATRIC SPECIAL CARE, INC.
Active
Other names
Aveanna
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BUCKHALTER (CFO)
(470) 464-8000
Entity
Organization
Contact information
Practice address
22260 HAGGERTY RD STE 180, NORTHVILLE, MI 48167-8984
(248) 557-4800
(248) 557-3998
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2368214
OTHER ID NUMBER
—
05
—
2934849
—
MI
05
—
4360676
—
MI
Enumeration date
05/11/2006
Last updated
01/27/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up