Aveanna Healthcare – Rehabilitation Clinic/Center, NPI 1366471450

Aveanna Healthcare is a healthcare provider. based in Fort worth, Texas. specializing in Rehabilitation Clinic/Center. The organization holds a License No. 013311 (TX). The NPI Number for Aveanna Healthcare is 1366471450

Main info

Organization
Name
Aveanna Healthcare
NPI
1366471450
Phone
(817) 921-5020
Address
1000 Saint Louis Ave Ste 102
Authorized Official
MATTHEW BUCKHALTER CFO
Enumeration Date
1 July 2006
Last Update Date
27 January 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness80
Years active:19State licenses:12Digital endpointsUpdated within 12 months

Provider Addresses for Aveanna Healthcare

  • 1000 Saint Louis Ave Ste 102

    Fort Worth, TX 761043377

    Phone: (817) 921-5020

    Type: Location

  • 98 Briggs St Ste 990

    San Antonio, TX 782241287

    Phone: (210) 226-9536

    Type: Location

  • 6601 Montana Ave Ste G&h

    El Paso, TX 799252155

    Phone: (915) 838-7604

    Type: Location

  • 930 W Centerville Rd Ste 930C

    Garland, TX 750415823

    Phone: (972) 303-7021

    Type: Location

  • 915 W EXCHANGE PKWY STE 100

    ALLEN, TX 750137018

    Phone: (214) 547-1571

    Fax: (817) 789-6849

    Type: Location

  • B, 915, West Exchange Parkway, Allen, Collin County, Texas, 75013, United States

    SUITE 100

    ALLEN, TX 750137018

    Phone: (214) 547-1571

    Fax: (817) 789-6849

    Type: Location

  • Platinum Tower, 400, Interstate North Parkway Southeast, Atlanta, Cobb County, Georgia, 30339, United States

    ATLANTA, GA 303395047

    Phone: (470) 464-8000

    Fax: (770) 248-8192

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-04-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-03-31 (803 days ago).

Enrollment records

1

Earliest due date

2024-03-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20030423000043OOutpatient Physical Therapy/Occupational Therapy/Speech Pathology ServicesTX2024-03-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76104)

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Reviews

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Frequently asked questions

What NPI should I save for Aveanna Healthcare?
Save NPI 1366471450 if you need a stable reference for Aveanna Healthcare.
Does this profile mean Aveanna Healthcare is currently active?
Yes — Aveanna Healthcare appears active in the national provider directory.
Can you summarize Aveanna Healthcare's specialty in plain language?
Clinically, the directory lists Aveanna Healthcare with Rehabilitation Clinic/Center. Clinical services aligned with this taxonomy classification.
Does Aveanna Healthcare practice in Texas?
You will see Fort Worth, Texas on file for Aveanna Healthcare alongside any extra practice locations.
How can I contact Aveanna Healthcare?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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