PEDIATRIC SERVICES OF AMERICA LLC NPI 1376218487

NPI Information

NPI: 1376218487
Provider Name: PEDIATRIC SERVICES OF AMERICA, LLC

Doing Business As: AVEANNA HEALTHCARE

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
2005 VISTA PKWY STE 110A
WEST PALM BEACH, FL
ZIP 33411
Phone: (561) 683-5758
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PEDIATRIC SERVICES OF AMERICA, LLC is a rehabilitation clinic center in West Palm Beach, FL. PEDIATRIC SERVICES OF AMERICA, LLC NPI is 1376218487. The provider is registered as an organization entity type.
The provider Is Doing Business As Aveanna Healthcare.

The provider's business location address is:

2005 VISTA PKWY STE 110A
WEST PALM BEACH, FL
ZIP 33411-700
Phone: (561) 683-5758
Fax: (561) 683-3416

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 enumeration date for this NPI number is 8/11/2021 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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center				No
2	261QR0400X	Clinic/Center	Rehabilitation			Yes

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

NPI Synchronization or Removal

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