National Provider Identifier Database

PEDIATRIA HEALTHCARE LLC
Medically Fragile Infants and Children Day Care

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.).


Contact Information

PEDIATRIA HEALTHCARE, LLC
1183 JACKS RUN RD
NORTH VERSAILLES, PA15137-0000
Phone: 412-349-6708
Fax: 412-349-6716
Website:
Specialty Taxonomy Code
* Medically Fragile Infants and Children Day Care 261QM3000X

* Indicates primary specialty

NPI Profile & details for PEDIATRIA HEALTHCARE, LLC

NPI Number 1770927345
Legal business name
LBN
PEDIATRIA HEALTHCARE, LLC
Authorized official VICKI WHITESIDE - (DIRECTOR, REGULATORY LICENSING)
Entity Organization
Organization subpart No
Enumeration date 04/25/2013
Last updated 11/30/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • PA Medicaid: 1021992800016

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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