Active NPI
Pediatria Healthcare, LLC
- Home Health Agency
- Wyncote, PA
National Provider Identifier
1649441205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 3310501
- Legal business name
- PEDIATRIA HEALTHCARE, LLC
- Practice address
- 8101 Washington LN
Suite 250
Wyncote, PA 19095-1625 - Phone
- (215) 376-6516
- Fax
- (215) 376-6520
- NPI assigned
- Mar 21, 2008
- Organization subpart
- Yes
- Parent organization
- PEDIATRIA HEALTHCARE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Susan Elizabeth Dignan, ATTORNEY
- Title
- General Counsel
- Phone
- (770) 840-1966
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 3310501 | PA | Primary |
Addresses
Primary practice location
8101 Washington LN
Suite 250
Wyncote, PA 19095-1625
Mailing address
5185 Peachtree Pkwy
Ste 350
Norcross, GA 30092-6542
Phone (770) 840-1966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102199280 0003 | Medicaid | PA |
National Provider Directory
National Provider Directory- Part of
- Pediatria Healthcare LLC
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Aveanna Healthcare
- Home Health Agency
- Needham, MA
- NPI 1427225523
Member Of
Locations
8101 Washington Ln
Ste 250
Wyncote, PA 19095
Phone (215) 376-6516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458604800000",
"number": "1649441205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5185 PEACHTREE PKWY",
"address_2": "STE 350",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300926542",
"telephone_number": "770-840-1966",
"fax_number": "770-840-1901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8101 WASHINGTON LN",
"address_2": "SUITE 250",
"city": "WYNCOTE",
"state": "PA",
"postal_code": "190951625",
"telephone_number": "215-376-6516",
"fax_number": "215-376-6520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIA HEALTHCARE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PEDIATRIA HEALTHCARE, LLC",
"enumeration_date": "2008-03-21",
"last_updated": "2016-03-22",
"status": "A",
"authorized_official_last_name": "DIGNAN",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "GENERAL COUNSEL",
"authorized_official_telephone_number": "770-840-1966",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "ATTORNEY"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "PA",
"license": "3310501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102199280 0003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wyncote, PA
- Kunal Patel, COTA
- Pathmark Stores Inc (Pathmark Pharmacy)
- Victoria Patota
- Eric Vernon Paugh, DPT
- Pediatria Healthcare, LLC (Aveanna Healthcare)
- Pennsylvania CVS Pharmacy LLC (CVS Pharmacy #)
- Jessica Christina Petrizzi, MS, OTR/L
- Philadelphia Care Core
- Philadelphia Vision Center of Montgomery County Inc
- Dana Pierre-Paul, MS MFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.