PEDIATRIA HEALTHCARE, LLC
NPI 1548557879
Clinic/Center - Medically Fragile Infants and Children Day Care in Wyncote, PA

Active since July 07, 2011CLIA 39D2096723 · Waiver
8101 WASHINGTON LN, SUITE 102, WYNCOTE, PA 19095(215) 376-6801(215) 376-6805 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, Dec 3, 2018 (2 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 1548557879), doing business as Aveanna Healthcare, is a healthcare organization registered as a medically fragile infants and children day care in Wyncote, Pennsylvania and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through May 31, 2027 and lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1548557879
Entity TypeOrganization
Primary Taxonomy261QM3000X
Legal Business NamePEDIATRIA HEALTHCARE, LLC
Location Address8101 WASHINGTON LN, SUITE 102Wyncote, PA 19095-1625
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000 · Fax (770) 248-8192
Fax(215) 376-6805
Organization SubpartNo
Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000
Enumeration DateJuly 7, 2011
Last NPPES UpdateJanuary 27, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
NPI 1548557879 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.).
8101 WASHINGTON LN, Wyncote, PA 19095

Other Names 1

Doing Business AsAveanna Healthcare

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 39D2096723

Pediatria Hc LLC, Dba Aveanna Hc · Wyncote, PA
Active · expires May 31, 2027
CLIA Number39D2096723
Laboratory TypePecc
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorDr. Ciana T. Hayes-Maxwell
Laboratory Phone(215) 376-6801
Laboratory LocationPediatria Hc LLC, Dba Aveanna Hc8101 Washington Lane, Wyncote, PA 19095
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

Physical Therapist
8101 WASHINGTON LN
WYNCOTE, PA 19095
Speech-Language Pathologist
8101 WASHINGTON LN, 101
WYNCOTTE, PA 19095
Family Medicine
8101 WASHINGTON LN, SUITE 101
WYNCOTE, PA 19095
Home Health
8101 WASHINGTON LN, SUITE 250
WYNCOTE, PA 19095
Registered Nurse
8101 WASHINGTON LN, SUITE 102
WYNCOTE, PA 19095
Family Medicine
8101 WASHINGTON LN, SUITE 101
WYNCOTE, PA 19095
Family Medicine
8101 WASHINGTON LN, SUITE 101
WYNCOTE, PA 19095
Registered Nurse
8101 WASHINGTON LN, SUITE 102
WYNCOTE, PA 19095

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 1548557879. It was assigned to this organization in the NPPES registry on July 7, 2011. The provider is doing business as Aveanna Healthcare.

Where is Pediatria Healthcare, LLC located?

Pediatria Healthcare, LLC is located at 8101 Washington Ln Suite 102, Wyncote, PA 19095. The listed phone number is (215) 376-6801.

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 39D2096723) is associated with this NPI, valid through May 31, 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.