PEDIATRIC SERVICES OF AMERICA LLC NPI 1992729362

NPI Information

NPI: 1992729362
Provider Name: PEDIATRIC SERVICES OF AMERICA, LLC

Doing Business As: AVEANNA HEALTHCARE

Classification: Nursing Care - 251J00000X
Entity Type: Organization

Address:
1025 W H SMITH BLVD
STE 100
GREENVILLE, NC
ZIP 27834
Phone: (252) 756-7233
Get Directions

PEDIATRIC SERVICES OF AMERICA, LLC is a nursing care in Greenville, 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 1992729362. The provider is registered as an organization entity type.
The provider Is Doing Business As Aveanna Healthcare.

The provider's business location address is:

1025 W H SMITH BLVD
STE 100
GREENVILLE, NC
ZIP 27834-052
Phone: (252) 756-7233
Fax: (252) 756-9337

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

The CLIA number assigned to this NPI record is 34D0954954 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 4/13/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251J00000X	Nursing Care		HC0016	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	7100323	MEDICAID	NORTH CAROLINA
2	3408666	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: 11/14/2023

NPI Synchronization or Removal

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