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PEDIATRIC SERVICES OF AMERICA LLC NPI 1144984931


NPI Information

NPI: 1144984931
Provider Name: PEDIATRIC SERVICES OF AMERICA, LLC
Classification: Nursing Care - 251J00000X
Entity Type: Organization

CLIA Number: 10D0940357

Address:
8659 BAYPINE ROAD, STE 100
BUILDING 3
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 730-2200
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PEDIATRIC SERVICES OF AMERICA, LLC is a nursing care in Jacksonville, FL. The provider is 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. PEDIATRIC SERVICES OF AMERICA, LLC NPI is 1144984931. The provider is registered as an organization entity type.

The provider's business location address is:

8659 BAYPINE ROAD, STE 100
BUILDING 3
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 730-2200

The provider's authorized official is Vicki Whiteside .
The authorized official title is Avp and has the following contact phone number (470) 464-8000.

The CLIA number assigned to this NPI record is 10D0940357 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2021 and was last updated on 10/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251J00000XNursing CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1678778965MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.