PEDIATRIA HEALTHCARE, LLC (NPI# 1033429279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033429279 |
| Entity Type | Organization |
| Organization Name | PEDIATRIA HEALTHCARE, LLC |
| Other Organization Name | PEDIATRIA HEALTHCARE FOR KIDS |
| Practice Address |
1600 Peninsula Dr 19 Erie PA 16505-4261 |
| Mailing Address |
400 Interstate North Pkwy Se Ste 1600 Atlanta GA 30339-5047 |
| Practice Telephone | 8148331042 |
| Practice Fax Number | 8148332391 |
| Mailing Telephone | 7702488740 |
| Mailing Fax Number | 7702488192 |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2018-11-30 |
| Authorized Official Name | VICKI WHITESIDE (DIRECTOR, REGULATORY LICENSING) |
| Authorized Official Telephone | 7702488740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM3000X |
Clinic/Center Specialization: Medically Fragile Intants and Children Day Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1021992800011 | 05 |
| Other Name | Type Code |
|---|---|
| Aveanna Healthcare | Doing Business As Name - Organization |
| Pediatria HealthCare for Kids | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194120063 | Pediatria Healthcare, LLC | Clinic/Center | 6459 Riverside Dr, Metairie, LA 70003-3206 | 2014-11-04 |
| 1770927345 | Pediatria Healthcare, LLC | Clinic/Center | 1183 Jacks Run Rd, North Versailles, PA 15137-0000 | 2013-04-25 |
| 1134563711 | Pediatria Healthcare, LLC | Home Health | 1185 Jacks Run Rd, S.r. 48, North Versailles, PA 15137-2725 | 2013-04-25 |
| 1508168170 | Pediatria Healthcare, LLC | Home Health | 1167 N Washington St Ste E, Wilkes Barre, PA 18705-1856 | 2010-12-02 |
| 1366684185 | Pediatria Healthcare, LLC | Nursing Care | 2935 N Ashley St Ste 103, Valdosta, GA 31602-1786 | 2009-03-25 |
| 1528210267 | Pediatria Healthcare, LLC | Physical Therapist | 1236 Blountstown Hwy, Building 5, Tallahassee, FL 32304-2715 | 2008-10-14 |
| 1427225523 | Pediatria Healthcare, LLC | Home Health | 7 Harvard St Ste 220, Brookline, MA 02445 | 2008-05-08 |
| 1811162639 | Pediatria Healthcare, LLC | Clinic/Center | 353 Markle Dr, Harrisburg, PA 17111-2762 | 2008-04-23 |
| 1518132406 | Pediatria Healthcare, LLC | Clinic/Center | 3492 Martin Hurst Rd, Tallahassee, FL 32312-1702 | 2008-04-23 |
| 1568633071 | Pediatria Healthcare, LLC | Nursing Care | 2420 Double Churches Rd Ste B, Columbus, GA 31909-2984 | 2008-03-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | PEDIATRIA HEALTHCARE, LLC | 5185 Peachtree Parkway, Suite 350, Norcross, GA 30092-6545 |
| Street Address |
1600 PENINSULA DR 19 |
| City | ERIE |
| State | PA |
| Zip Code | 16505-4261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558402156 | Regional Health Services Inc. | Non-Pharmacy Dispensing Site | 1600 Peninsula Dr, Suite C, Erie, PA 16505-4261 | 2007-02-08 |
| 1194184291 | Prime By Aseracare LLC | Emergency Medicine | 1600 Peninsula Dr, Ste 14, Erie, PA 16505-4261 | 2016-02-17 |
| 1366783508 | Hospice Preferred Choice, Inc. | Emergency Medicine | 1600 Peninsula Dr, Suite 14, Erie, PA 16505-4261 | 2013-03-13 |
| 1013218023 | Kimberly Diane Ackerman | Registered Nurse | 1600 Peninsula Dr, Suite 19, Erie, PA 16505-4261 | 2010-11-07 |
| 1871750281 | Regional Health Services Inc | Clinical Medical Laboratory | 1600 Peninsula Dr, Suite C, Erie, PA 16505-4261 | 2008-05-22 |
| 1033376736 | Regional Health Services, Inc. | Family Medicine | 1600 Peninsula Dr, Suite 9, Erie, PA 16505-4261 | 2008-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790275634 | Megan Elizabeth Rahill | Registered Nurse | 610 Seminole Dr, Erie, PA 16505 | 2018-05-16 |
| 1740784222 | Tracy Zong Cheng | Student in an Organized Health Care Education/Training Program | 1645 W 8th Street, Suite 200, Erie, PA 16505 | 2018-03-20 |
| 1073067724 | Epeople Health Care Inc | Home Health | 2133 W 8th St, Erie, PA 16505 | 2016-08-11 |
| 1629424411 | Kimberly Roderick | Registered Nurse | 1324 S. Shore Drive Apt. G07, Erie, PA 16505 | 2016-05-11 |
| 1437516432 | April Vogeley | Counselor | 1004 Farrell Road, Erie, PA 16505 | 2016-01-21 |
| 1538563499 | Laurence William Veihdeffer | Dentist | 2021 W 8 St., Erie, PA 16505 | 2014-10-21 |
| 1255617908 | Shannon Renee Luke | Licensed Practical Nurse | 1416 Custer Dr., Erie, PA 16505 | 2011-10-26 |
| 1699904227 | William Jackson Koehler | Social Worker | 2230 W 8th St Ste 2, Erie, PA 16505 | 2009-07-02 |
| 1972747657 | Kristen Marie Huber | Counselor | 823 Filmore Ave, Erie, PA 16505 | 2009-04-27 |
| 1851556351 | Stephanie Lynn Miller | Technician, Other | 2564 West 12th St., Erie, PA 16505 | 2008-07-23 |
| Find all providers in zip 16505 | ||||
| Taxonomy Code | 261QM3000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medically Fragile Intants and Children Day Care |
| An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225656739 | 15 Wesner Lane Pecc Operating Company, Lp | Clinic/Center | 15 Wesner Ln Ste 101, Danville, PA 17821-8023 | 2020-07-10 |
| 1770927345 | Pediatria Healthcare, LLC | Clinic/Center | 1183 Jacks Run Rd, North Versailles, PA 15137-0000 | 2013-04-25 |
| 1154639847 | Frankies World Foundation | Clinic/Center | 1011 Poplar St, Philadelphia, PA 19123-1962 | 2010-09-16 |
| 1811162639 | Pediatria Healthcare, LLC | Clinic/Center | 353 Markle Dr, Harrisburg, PA 17111-2762 | 2008-04-23 |
| 1235277690 | Lauren's House, LLC | Clinic/Center | 17 Creek Pkwy, Suite 200, Boothwyn, PA 19061-3148 | 2007-02-01 |
| 1699813063 | Lauren's House North Philadelphia, LLC | Clinic/Center | 1318 W Clearfield St, Suite 300, Philadelphia, PA 19132-2423 | 2007-02-01 |
| 1285770917 | Children's Cognitive and Behavioral Health Inc. | Clinic/Center | 211 South St Ste 637, Philadelphia, PA 19147-2305 | 2007-01-29 |
| 1467506626 | Helping Hand Childre's Center | Clinic/Center | 2159 Oregon Pike, Lancaster, PA 17601-4604 | 2007-01-23 |
| 1992041495 | Wonder Kids Medical Daycare | Clinic/Center | 647 E Roseville Rd, Lancaster, PA 17601-4235 | 2013-01-02 |
| 1548557879 | Pediatria Healthcare, LLC | Clinic/Center | 8101 Washington Ln, Suite 102, Wyncote, PA 19095-1625 | 2011-07-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.