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PEDIATRIA HEALTHCARE, LLC
NPI 1033429279
Clinic/Center - Medically Fragile Infants and Children Day Care in Erie, PA

Active since October 20, 2010CLIA 39D2095834 · Waiver
1600 PENINSULA DR, 19, ERIE, PA 16505(814) 833-1042(814) 833-2391 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 5, 2024, Nov 30, 2018, Nov 15, 2018 (3 updates tracked since 2018).

About Pediatria Healthcare, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIA HEALTHCARE, LLC (NPI 1033429279), doing business as Aveanna Healthcare, is a healthcare organization registered as a medically fragile infants and children day care in Erie, Pennsylvania and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through May 11, 2027 and lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1033429279
Entity TypeOrganization
Primary Taxonomy261QM3000X
Legal Business NamePEDIATRIA HEALTHCARE, LLC
Location Address1600 PENINSULA DR, 19Erie, PA 16505-4261
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000 · Fax (770) 248-8192
Phone(814) 833-1042
Fax(814) 833-2391
Organization SubpartNo
Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000
Enumeration DateOctober 20, 2010
Last NPPES UpdateJanuary 27, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
✔ NPI 1033429279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medically Fragile Infants and Children Day CareAmbulatory Health Care Facilities
Taxonomy Code261QM3000X
Definition
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.).
1600 PENINSULA DR, Erie, PA 16505
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Other Names 1

Doing Business AsAveanna Healthcare

Other Identifiers 1

Medicaid1021992800011PA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2095834

Pediatria Hc LLC Dba Aveanna Hc · Erie, PA
Active · expires May 11, 2027
CLIA Number39D2095834
Laboratory TypePecc
Certificate Effective DateMay 12, 2025
Certificate Expiration DateMay 11, 2027
Laboratory DirectorDr. Maureen C. Fleming
Laboratory Phone(814) 833-0221
Laboratory LocationPediatria Hc LLC Dba Aveanna Hc1600 Peninsula Drive, Suite 19, Erie, PA 16505
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY DIANE ACKERMAN RN,BSN
Registered Nurse (Administrator)
1600 PENINSULA DR, SUITE 19
ERIE, PA 16505
Erie County (814) 833-0221
REGIONAL HEALTH SERVICES, INC.
Family Medicine
1600 PENINSULA DR, SUITE 9
ERIE, PA 16505
Erie County (814) 877-7035
HOSPICE PREFERRED CHOICE, INC.
Family Medicine (Hospice and Palliative Medicine)
1600 PENINSULA DR, SUITE 14
ERIE, PA 16505
Erie County (814) 836-5255
REGIONAL HEALTH SERVICES INC.
Non-Pharmacy Dispensing Site
1600 PENINSULA DR, SUITE C
ERIE, PA 16505
Erie County (814) 877-6276
REGIONAL HEALTH SERVICES INC
Clinical Medical Laboratory
1600 PENINSULA DR, SUITE C
ERIE, PA 16505
Erie County (814) 877-7035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatria Healthcare, LLC's NPI number?

The NPI number for Pediatria Healthcare, LLC is 1033429279. It was assigned to this organization in the NPPES registry on October 20, 2010. The provider is doing business as Aveanna Healthcare.

Where is Pediatria Healthcare, LLC located?

Pediatria Healthcare, LLC is located at 1600 Peninsula Dr 19, Erie, PA 16505. The listed phone number is (814) 833-1042.

What is Pediatria Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medically Fragile Infants and Children Day Care, with taxonomy code 261QM3000X.

Does Pediatria Healthcare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2095834) is associated with this NPI, valid through May 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatria Healthcare, LLC was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.