Active NPI
Epic Health Services, Inc.
Doing business as Aveanna Healthcare
- Home Health Agency
- Clark, NJ
National Provider Identifier
1841690070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HP0120800
- Legal business name
- EPIC HEALTH SERVICES, INC.
- Doing business as
- Aveanna Healthcare
- Practice address
- 77 Brant Ave
Suite 320
Clark, NJ 07066-1560 - Phone
- (973) 510-0120
- Fax
- (973) 928-0254
- NPI assigned
- Aug 25, 2014
- Last updated
- Jan 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Buckhalter
- Title
- Cfo
- Phone
- (470) 464-8000
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HP0120800 | NJ | Primary |
| Nursing Care Agency | 251J00000X | HP0120800 | NJ | |
| Behavior Analyst | 103K00000X | HP0120800 | NJ |
Addresses
Primary practice location
77 Brant Ave
Suite 320
Clark, NJ 07066-1560
Mailing address
400 Interstate North Pkwy SE Ste 1600
Atlanta, GA 30339-5047
Phone (470) 464-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0252021 | Medicaid | NJ | |
| 0274666 | Medicaid | NJ |
Other names 1
- Aveanna Healthcare
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2111845 | Epic Health Services, Inc | Certificate of waiver | Apr 14, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Aveanna Healthcare
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Aveanna Healthcare
- Medically Fragile Infants and Children Day Care
- Roselle Park, NJ
- NPI 1104342856
Locations
77 Brant Ave
Ste 320
Clark, NJ 07066
Phone (973) 510-0120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737936000000",
"number": "1841690070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 INTERSTATE NORTH PKWY SE STE 1600",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303395047",
"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": "77 BRANT AVE",
"address_2": "SUITE 320",
"city": "CLARK",
"state": "NJ",
"postal_code": "070661560",
"telephone_number": "973-510-0120",
"fax_number": "973-928-0254"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EPIC HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-25",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A",
"authorized_official_last_name": "BUCKHALTER",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "470-464-8000"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NJ",
"license": "HP0120800",
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NJ",
"license": "HP0120800",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NJ",
"license": "HP0120800",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0252021",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0274666",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Aveanna Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.