AVEANNA HEALTHCARE
NPI 1104342856
Clinic/Center - Medically Fragile Infants and Children Day Care in Roselle Park, NJ

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM3000X and a focus in Medically Fragile Infants and Children Day Care.

Active since August 15, 2017

316 W WESTFIELD AVE, ROSELLE PARK, NJ 07204(908) 259-3330 Get Directions Write a Review

NPPES record last updated: September 11, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 11, 2018, Aug 15, 2017 (2 updates tracked since 2017).

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NPI Profile Information
Primary Taxonomy
Authorized Official
Other Providers Same Location
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Organization
Clinic/Center
Medically Fragile Infants and Children D...

About AVEANNA HEALTHCARE

This page provides the complete NPI Profile along with additional information for Aveanna Healthcare, a provider established in Roselle Park, New Jersey operating as a Clinic/center, focusing in medically fragile infants and children day care . The healthcare provider is registered in the NPI registry with number 1104342856 assigned on August 2017. The practitioner's primary taxonomy code is 261QM3000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Aveanna Healthcare. The authorized official of this NPI record is H. Tony Strange (President / Ceo)

NPI: 1104342856 Verify this NPI
Provider Legal Name: EPIC HEALTH SERVICES, INC
Other Organization Name: AVEANNA HEALTHCARE
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 316 W WESTFIELD AVE ROSELLE PARK, NJ 07204
Location Phone: (908) 259-3330
Mailing Address: 400 INTERSTATE NORTH PKWY SE STE 1600 ATLANTA, GA 30339
Mailing Phone: (770) 248-8740
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 08-15-2017
Last Update Date: 09-11-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Medically Fragile Infants and Children Day Care
Taxonomy Code: 261QM3000X
Type: Ambulatory Health Care Facilities
Taxonomy Description: 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.).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: H. TONY STRANGE
Authorized Official Title: PRESIDENT / CEO
Authorized Official Phone: (770) 441-1580