OrganizationActive
Pediatria Healthcare, LLC
NPI 1447492269 · Medically Fragile Infants and Children Day Care · Wilkes Barre, PA
Provider details
- NPI number
- 1447492269
- Entity type
- Organization
- Primary specialty
- Medically Fragile Infants and Children Day CareAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Matthew Buckhalter, Cfo(470) 464-8000
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
53 Gravel St
Suite C
Wilkes Barre, PA 18705-3738
Phone: (770) 840-1966
Fax: (770) 840-1901
Approximate (ZIP-level) locationGet directions
Mailing address
400 Interstate North Pkwy Se Ste 1600
Atlanta, GA 30339-5047
Other names (DBA / former)
- Doing business as
- Aveanna Healthcare
Registry dates
- Enumerated
- 2009-03-25
- Last updated
- 2025-01-27
- Certified
- 2025-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.