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PEDIATRIAHEALTHCARELLC
NPI 1639305048
Clinic/Center - Medically Fragile Infants and Children Day Care in Wilkes Barre, PA

Active since June 01, 2009
53 GRAVEL ST, WILKES BARRE, PA 18705(570) 371-5600 Get Directions Write a Review

NPPES record last updated: June 1, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatriahealthcarellc NPPES

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

PEDIATRIAHEALTHCARELLC (NPI 1639305048) is a healthcare organization registered as a medically fragile infants and children day care in Wilkes Barre, Pennsylvania and active in the NPI registry since June 2009. The organization lists Karen Drury, Clinical Care Coordinator, as its authorized official.

NPPES Registry Identity

NPI1639305048
Entity TypeOrganization
Primary Taxonomy261QM3000X
Legal Business NamePEDIATRIAHEALTHCARELLC
Location Address53 GRAVEL STWilkes Barre, PA 18705-3738
Mailing Address53 Gravel StWilkes Barre, PA 18705-3738 · (570) 371-5600
Phone(570) 371-5600
Organization SubpartNo
Authorized OfficialKaren DruryClinical Care Coordinator · (570) 371-5600
Enumeration DateJune 1, 2009
✔ NPI 1639305048 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
License✔ Licensed in PA · RN273700L
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.).
53 GRAVEL ST, Wilkes Barre, PA 18705
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Other Providers at the Same Location NPPES 15

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

DEBORAH ANN LAFRATTE RN
Registered Nurse (Pediatrics)
53 GRAVEL ST
WILKES BARRE, PA 18705
Luzerne County (570) 789-0845
ANNPAT SULLIVAN DPT
Physical Therapist (Pediatrics)
53 GRAVEL ST
WILKES BARRE, PA 18705
Luzerne County (570) 371-5600
AMY ANNE HUMMEL OTR/L
Occupational Therapist
53 GRAVEL ST
WILKES BARRE, PA 18705
Luzerne County (570) 371-5600
MRS. NOELLE MARIE BENDERAVICH OTR/L
Occupational Therapist
53 GRAVEL ST
WILKES BARRE, PA 18705
Luzerne County (570) 371-5600
MS. LISA MIDWINTER M.S.,CCC-SLP
Speech-Language Pathologist
53 GRAVEL ST
WILKES BARRE, PA 18705
Luzerne County (570) 371-5600
LEESA JANE MASTELLER PT
Physical Therapist
53 GRAVEL ST
WILKES BARRE, PA 18705
Luzerne County (570) 371-5600
MARGARET T FRITZ M.S. CCC-SLP
Speech-Language Pathologist
53 GRAVEL ST
WILKES BARRE, PA 18705
Luzerne County (570) 371-5600
SUSAN BALINT M.S.,CCC-SLP
Speech-Language Pathologist
53 GRAVEL ST
WILKES BARRE, PA 18705
Luzerne County (570) 371-5600

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 Pediatriahealthcarellc's NPI number?

The NPI number for Pediatriahealthcarellc is 1639305048. It was assigned to this organization in the NPPES registry on June 1, 2009.

Where is Pediatriahealthcarellc located?

Pediatriahealthcarellc is located at 53 Gravel St, Wilkes Barre, PA 18705. The listed phone number is (570) 371-5600.

What is Pediatriahealthcarellc'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.

When was this NPI record last updated?

The NPPES record for Pediatriahealthcarellc was last updated on June 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.