Child's Play Therapeutic Homecare Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CHILD'S PLAY THERAPEUTIC HOMECARE INC.

Doing business as

Aveanna Healthcare

Practice address

1042 Central Parkway South
Suite 1042
San Antonio, TX 78232

Phone

(210) 348-7529

Fax

(210) 348-7527

NPI assigned

May 10, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shannon Drake

Title

Chief Legal Officer

Phone

(470) 464-8000

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Aveanna Healthcare Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1023336468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 INTERSTATE NORTH PARKWAY, SE",
            "address_2": "SUITE 1600 ATTN: LICENSING",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30339",
            "telephone_number": "470-464-8000",
            "fax_number": "770-248-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 CENTRAL PARKWAY SOUTH",
            "address_2": "SUITE 1042",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78232",
            "telephone_number": "210-348-7529",
            "fax_number": "210-348-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD'S PLAY THERAPEUTIC HOMECARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "470-464-8000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TX",
            "license": "013740",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212741701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aveanna Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ocheze Chikezie-Darron
• Abhilash Chilakamarthi, MD
• Alexus Chilcote, IOM
• Child Care Assoc of Bexar County
• Child Trauma Relief Consultants (Child Trauma Center)
• Melissa Childers-White
• Brandon Childers, M.D.
• Darrell Childers, D.D.S.
• Katherine Elizabeth Childers, AGACNP
• Una Maguire Childers, PA-C

• Home Health Agency in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.