AVEANNA HEALTHCARE
NPI 1760146559
Day Training, Developmentally Disabled Services in Daytona Beach, FL

NPI Status: Active since October 27, 2021

Contact Information

126 INTEGRA BREEZE LN STE 3B
DAYTONA BEACH, FL
ZIP 32117
Phone: (386) 304-0702
Fax: (386) 304-0703

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  • Organization
  • Day Training, Developmentally Disabled S...
  • CLIA Number: 10D0951717
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 09-24-2026

About AVEANNA HEALTHCARE

This page provides the complete NPI Profile along with additional information for Aveanna Healthcare, a provider established in Daytona Beach, Florida operating as a Day Training, Developmentally Disabled Services. The healthcare provider is registered in the NPI registry with number 1760146559 assigned on October 2021. The practitioner's primary taxonomy code is 251C00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Aveanna Healthcare. The authorized official of this NPI record is David Afshar (Cfo)

NPI
1760146559
Provider Legal Name
PEDIATRIC SERVICES OF AMERICA, LLC
Other Organization Name
AVEANNA HEALTHCARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
126 INTEGRA BREEZE LN STE 3B DAYTONA BEACH, FL 32117
Location Phone
(386) 304-0702
Location Fax
(386) 304-0703
Mailing Address
400 INTERSTATE NORTH PKWY SE STE 1600 ATLANTA, GA 30339
Mailing Phone
(470) 464-8000
Mailing Fax
(386) 304-0703
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-27-2021
Last Update Date
02-09-2022
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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

Day Training, Developmentally Disabled Services

Taxonomy Code
251C00000X
Type
Agencies
Taxonomy Description
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DAVID AFSHAR

Authorized Official Title
CFO
Authorized Official Phone
(470) 464-8000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
681259796MEDICAID (05)FL 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D0951717
Facility Type
Home Health Agency
Certificate Effective Date
September 25, 2024
Certificate Expiration Date
September 24, 2026
Laboratory Director
KATHRYN TISI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Aveanna Healthcare to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1760146559, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 1 → 2 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 2 + 0 + 2 + 4 + 1 + 2 + 5 + 1 + 0 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1760146559.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nursing Care
126 INTEGRA BREEZE LN STE 3B
DAYTONA BEACH, FL 32117

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760146559, enumerated as an "organization" on October 27, 2021.

The provider is located at 126 INTEGRA BREEZE LN STE 3B DAYTONA BEACH, FL 32117 and the phone number is (386) 304-0702.

Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.