PEDIATRIC SERVICES OF AMERICA LLC NPI 1619908985

NPI Information

PEDIATRIC SERVICES OF AMERICA, LLC is a nursing care in Brockton, MA. 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 1619908985. The provider is registered as an organization entity type.
The provider Is Doing Business As Aveanna Healthcare.

The provider's business location address is:

20 MINUTEMAN WAY
SUITE 2
BROCKTON, MA
ZIP 02301-507
Phone: (508) 586-9700
Fax: (508) 583-0070

The provider's authorized official is Shannon Drake .
The authorized official title is Chief Legal Officer and has the following contact phone number (470) 464-8000.

The CLIA number assigned to this NPI record is 22D0886947 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 2/26/2024.

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:

Other Identifiers

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

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.