PEDIATRIA HEALTHCARE, LLC (NPI# 1194120063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194120063 |
| Entity Type | Organization |
| Organization Name | PEDIATRIA HEALTHCARE, LLC |
| Other Organization Name | AVEANNA HEALTHCARE |
| Practice Address |
6459 Riverside Dr Metairie LA 70003-3206 |
| Mailing Address |
400 Interstate North Pkwy Se Ste 1600 Atlanta GA 30339-5047 |
| Practice Telephone | 5043555197 |
| Practice Fax Number | 5043555202 |
| Mailing Telephone | 7702488740 |
| Mailing Fax Number | 7708401901 |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2019-07-11 |
| 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 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1124296389 | Pediatria Healthcare, LLC | Clinic/Center | 25 Chatham Ctr S, Savannah, GA 31405-1302 | 2008-02-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | PEDIATRIA HEALTHCARE, LLC | 5185 Peachtree Parkway, Suite 350, Norcross, GA 30092-6545 |
| Street Address |
6459 RIVERSIDE DR |
| City | METAIRIE |
| State | LA |
| Zip Code | 70003-3206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366081226 | Ashleigh Nicole Bordelon | Speech-Language Pathologist | 6459 Riverside Dr, Metairie, LA 70003-3206 | 2019-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154816536 | Southshore Speech Therapy | Speech-Language Pathologist | 2009 Riviere Ave, Metairie, LA 70003 | 2018-06-27 |
| 1871005504 | Theresa Ward | Case Manager/Care Coordinator | 7813 Airline Dr Ste B, Metairie, LA 70003 | 2017-11-03 |
| 1205350360 | Alishia Quinn | Counselor | 7809 Airline Highway Ste. 211-d, Metairie, LA 70003 | 2017-07-31 |
| 1306392071 | Brittany Poirrier | Pharmacist | 5300 Veterans Blvd, Metairie, LA 70003 | 2016-08-31 |
| 1326591793 | Alphacare Support | Day Training, Developmentally Disabled Services | 7809 Airline Dr., Ste. 210, Metairie, LA 70003 | 2016-08-02 |
| 1386014678 | Elite Behavioral Health Service, LLC | Counselor | 7809 Airline Drive, Suite 304c, Metairie, LA 70003 | 2015-09-30 |
| 1255709515 | Ha Huynh | Pharmacist | 7127 Veterans Memorial Blvd, Metairie, LA 70003 | 2015-09-03 |
| 1467843227 | Jennifer Meganm Anderson | Behavioral Analyst | 3233 Lisa Drive, Metairie, LA 70003 | 2015-02-13 |
| 1619379674 | Seth Jude Delise | Pharmacist | 2940 Veterans Blvd, Metairie, LA 70003 | 2014-09-22 |
| 1811397656 | Walmart Pharmacy | Pharmacist | 8912 Veterans Blvd, Metairie, LA 70003 | 2014-08-29 |
| Find all providers in zip 70003 | ||||
| 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 |
|---|---|---|---|---|
| 1457753808 | Prescribed Pediatric Extended Center Inc | Clinic/Center | 2644 N Causeway Blvd, Suite 100, Metairie, LA 70002-6055 | 2014-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120612 | Pediatrust Acadiana, LLC | Clinic/Center | 331 Doucet Rd, Lafayette, LA 70503-3447 | 2020-10-07 |
| 1629474192 | Thibodaux Pdhc, LLC | Clinic/Center | 124 Sucre Ln, Thibodaux, LA 70301-4214 | 2014-11-11 |
| 1265844013 | Prescribed Pediatric Extended Care, Inc | Clinic/Center | 5505 Jackson St, Alexandria, LA 71303-2324 | 2014-05-28 |
| 1467883181 | Caring Hands Pediatric Day Health Center, LLC | Clinic/Center | 1009 Professional Dr W, Shreveport, LA 71105-5624 | 2013-12-05 |
| 1568896561 | Lauve's Pdhc, LLC | Clinic/Center | 2000 E Texas St, Bossier City, LA 71111-3830 | 2013-08-26 |
| 1619300506 | Prescribed Pediatric Extended Care, Inc | Clinic/Center | 2570 Sw Railroad Ave, Hammond, LA 70403-1514 | 2013-08-14 |
| 1598029092 | In Loving Arms, LLC | Clinic/Center | 6637 N Foster Dr, Baton Rouge, LA 70811-6164 | 2012-06-28 |
| 1093172058 | Pelican Pediatric Day Health Care Center, LLC | Clinic/Center | 400 Martin Luther King Jr Dr, Suite F, Natchitoches, LA 71457-4056 | 2016-01-21 |
| 1922409069 | Pediatria Healthcare, LLC | Clinic/Center | 385 Bert Kouns Industrial Loop, Suite 600, Shreveport, LA 71106-8158 | 2014-09-09 |
| 1629493770 | Rapides Pediatric Day Health Care, LLC | Clinic/Center | 3212 Industrial St, Alexandria, LA 71301 | 2014-02-26 |
| 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.