PEDIATRIA HEALTHCARE, LLC
NPI 1790181568
Clinic/Center - Medically Fragile Infants and Children Day Care in Brandon, FL

Active since November 06, 2014
724 BOWING OAK DR, BRANDON, FL 33511(813) 982-3695(813) 982-3800 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2024, Jul 11, 2019, Feb 27, 2019 (3 updates tracked since 2019).

About Pediatria Healthcare, Llc NPPES

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

PEDIATRIA HEALTHCARE, LLC (NPI 1790181568), doing business as Aveanna Healthcare, is a healthcare organization registered as a medically fragile infants and children day care in Brandon, Florida and active in the NPI registry since November 2014. The organization lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1790181568
Entity TypeOrganization
Primary Taxonomy261QM3000X
Legal Business NamePEDIATRIA HEALTHCARE, LLC
Location Address724 BOWING OAK DRBrandon, FL 33511-5974
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000 · Fax (770) 840-1901
Fax(813) 982-3800
Organization SubpartNo
Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000
Enumeration DateNovember 6, 2014
Last NPPES UpdateJanuary 27, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
NPI 1790181568 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.).
724 BOWING OAK DR, Brandon, FL 33511

Other Names 1

Doing Business AsAveanna Healthcare

Other Providers at the Same Location NPPES 3

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

Speech-Language Pathologist
724 BOWING OAK DR
BRANDON, FL 33511
Occupational Therapist
724 BOWING OAK DR
BRANDON, FL 33511
Speech-Language Pathologist
724 BOWING OAK DR
BRANDON, FL 33511

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 1790181568. It was assigned to this organization in the NPPES registry on November 6, 2014. The provider is doing business as Aveanna Healthcare.

Where is Pediatria Healthcare, LLC located?

Pediatria Healthcare, LLC is located at 724 Bowing Oak Dr, Brandon, FL 33511. The listed phone number is (813) 982-3695.

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.

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.