PEDIATRIC SERVICES OF AMERICA LLC NPI 1962431577

NPI Information

NPI: 1962431577
Provider Name: PEDIATRIC SERVICES OF AMERICA, LLC

Doing Business As: AVEANNA HEALTHCARE

Classification: Nursing Care - 251J00000X
Entity Type: Organization

Address:
1551 WESTBROOK PLAZA DR
SUITE 110
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 760-8599
Get Directions

PEDIATRIC SERVICES OF AMERICA, LLC is a nursing care in Winston Salem, NC. 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 1962431577. The provider is registered as an organization entity type.
The provider Is Doing Business As Aveanna Healthcare.

The provider's business location address is:

1551 WESTBROOK PLAZA DR
SUITE 110
WINSTON SALEM, NC
ZIP 27103-355
Phone: (336) 760-8599
Fax: (336) 760-3849

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 34D0933804 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/3/2006 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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251J00000X	Nursing Care		HC0446	NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3408666	MEDICAID	NORTH CAROLINA
2	7100324	MEDICAID	NORTH CAROLINA

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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