1. Home
  2. Directory
  3. Michigan
  4. Northville
  5. Nursing Care
  6. NPI Profile

PEDIATRIC SPECIAL CARE, INC.
NPI 1891745808
Nursing Care in Northville, MI

Active since May 11, 2006CLIA 23D2276880 · Waiver
22260 HAGGERTY RD STE 180, NORTHVILLE, MI 48167(248) 557-4800(248) 557-3998 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, Jan 24, 2023, Dec 4, 2019 (3 updates tracked since 2019).

About Pediatric Special Care, Inc. NPPES

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

PEDIATRIC SPECIAL CARE, INC. (NPI 1891745808), doing business as Aveanna, is a healthcare organization registered as a nursing care in Northville, Michigan and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through February 15, 2027 and lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1891745808
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NamePEDIATRIC SPECIAL CARE, INC.
Location Address22260 HAGGERTY RD STE 180Northville, MI 48167-8984
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000
Phone(248) 557-4800
Fax(248) 557-3998
Organization SubpartNo
Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000
Enumeration DateMay 11, 2006
Last NPPES UpdateJanuary 27, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
✔ NPI 1891745808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
Also ListedHome HealthTaxonomy 251E00000X
22260 HAGGERTY RD STE 180, Northville, MI 48167
Open in Google Maps ↗

Other Names 1

Doing Business AsAveanna

Other Identifiers 3

Other2368214Other Id Number
Medicaid2934849MI
Medicaid4360676MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 23D2276880

Pediatric Special Care, Inc Dba Aveanna · Northville, MI
Active · expires Feb 15, 2027
CLIA Number23D2276880
Laboratory TypeHome Health Agency
Certificate Effective DateFebruary 16, 2025
Certificate Expiration DateFebruary 15, 2027
Laboratory DirectorAmy M. Fomin
Laboratory Phone(248) 557-4800
Laboratory LocationPediatric Special Care, Inc Dba Aveanna22260 Haggerty Road Suite 180, Northville, MI 48167
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pediatric Special Care, Inc.'s NPI number?

The NPI number for Pediatric Special Care, Inc. is 1891745808. It was assigned to this organization in the NPPES registry on May 11, 2006. The provider is doing business as Aveanna.

Where is Pediatric Special Care, Inc. located?

Pediatric Special Care, Inc. is located at 22260 Haggerty Rd Ste 180, Northville, MI 48167. The listed phone number is (248) 557-4800.

What is Pediatric Special Care, Inc.'s specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

Does Pediatric Special Care, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2276880) is associated with this NPI, valid through February 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatric Special Care, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Pediatric Special Care, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Special Care, Inc. 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.