Pediatric Services Of America, LLC
Home Health in Media, PA. Organization (NPI-2).
NPI number1023045218
StatusActive
Last updated in NPPESJan 27, 2025
Details
- NPI
- 1023045218
- Entity type
- Organization (NPI-2)
- Legal business name
- Pediatric Services Of America, LLC
- Organization subpart
- No
- Enumeration date
- Jun 26, 2006
- Certification date
- Jan 27, 2025
- Last updated
- Jan 27, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART A PROVIDER - HOME HEALTH AGENCY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | 758305 | PA | Yes |
Other names
- Aveanna Healthcare (Doing Business As)
Practice location
1400 N Providence Rd Ste 300 SouthMedia, PA 19063-2050
Phone 215-887-4009 · Fax 215-887-4246
Mailing address
400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047
Phone 470-464-8000 · Fax 770-248-8192
Authorized official
Matthew Buckhalter
Cfo
4704648000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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