PEDIATRIC SERVICES OF AMERICA, INC. (NPI# 1104848134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104848134 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC SERVICES OF AMERICA, INC. |
| Other Organization Name | AVEANNA HEALTHCARE |
| Practice Address |
999 Oronoque Ln Stratford CT 06614 |
| Mailing Address |
400 Interstate North Pkwy Se Ste 1600 Atlanta GA 30339-5047 |
| Practice Telephone | 2033811530 |
| Practice Fax Number | 2033811535 |
| Mailing Telephone | 7702488740 |
| Mailing Fax Number | 7702488192 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2018-07-26 |
| Authorized Official Name | HARMON STRANGE (PRESIDENT/CEO) |
| Authorized Official Telephone | 7704411580 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | C9612701 | CT | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004217304 | 05 | |
| CT | 4187953 | 05 |
| Other Name | Type Code |
|---|---|
| Aveanna Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275069874 | Pediatric Services of America, Inc. | Nursing Care | 803 Jenks Ave Ste 6, Panama City, FL 32401-2568 | 2017-05-03 |
| 1568838399 | Pediatric Services of America, Inc. | Nursing Care | 81 Peeples Valley Rd Se Ste 103, Cartersville, GA 30121-6089 | 2015-08-17 |
| 1730568148 | Pediatric Services of America, Inc. | Nursing Care | 238 Littleton Rd Ste 205, Westford, MA 01886-3531 | 2015-05-19 |
| 1487914495 | Pediatric Services of America, Inc. | Nursing Care | 749 Northern Blvd Ste B, South Abington Township, PA 18411-9087 | 2012-05-23 |
| 1871761411 | Pediatric Services of America, Inc. | Nursing Care | 7602 Bridgeport Way W, Suite 2b, Lakewood, WA 98499-2415 | 2008-02-18 |
| 1982733408 | Pediatric Services of America, Inc. | Home Health | 146 New Britain Ave, Plainville, CT 06062 | 2007-03-02 |
| 1962540369 | Pediatric Services of America, Inc. | Home Health | 5313 N Mccoll Rd, Mcallen, TX 78504-2204 | 2007-02-01 |
| 1073650735 | Pediatric Services of America, Inc. | Nursing Care | 920 Davis Rd, Suite 208, Elgin, IL 60123-1390 | 2007-01-31 |
| 1912055732 | Pediatric Services of America, Inc. | Nursing Care | 415 Boston Tpke Ste 101, Shrewsbury, MA 01545-3414 | 2007-01-08 |
| 1164446530 | Pediatric Services of America, Inc. | Clinic/Center | 4051 Phillips Hwy, Suite 2, Jacksonville, FL 32207-9305 | 2006-07-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | PEDIATRIC SERVICES OF AMERICA, INC. | Six Concourse Parkway, Suite 1100, Atlanta, GA 30328 |
| Colorado Business Entities | PEDIATRIC SERVICES OF AMERICA, INC. | 400 Interstate North Pkwy Se, Ste. 1600, Atlanta, GA 30339-5047 |
| Vermont Business Registrations | PEDIATRIC SERVICES OF AMERICA, INC. | Six Concourse Parkway, S, Atlanta, GA 30328 |
| Oregon Corporations, Companies and Business Names | PEDIATRIC SERVICES OF AMERICA, INC. | 400 Interstate N Pkwy Se Ste 1600, Atlanta, GA 30339 |
| Massachusetts Corporations | PEDIATRIC SERVICES OF AMERICA, INC. | Six Concourse Parkway, Suite 1100, Atlanta, GA 30328 |
| Indiana Business Entities | PEDIATRIC SERVICES OF AMERICA, INC. | 310 Technology Pkwy, Norcross, GA 30092 |
| Oklahoma Business Registrations | PEDIATRIC SERVICES OF AMERICA, INC. | 5834-c Peachtree Corners East, Norcross, GA 30092 |
| Street Address |
999 ORONOQUE LN |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215963822 | Family Care Visiting Nurse & Home Health Care Agency, LLC | Home Health Aide | 999 Oronoque Ln, Stratford, CT 06614-1379 | 2006-06-24 |
| 1760949465 | Michael Carbone | Occupational Therapist | 999 Oronoque Ln, Stratford, CT 06614-1379 | 2019-02-28 |
| 1801285291 | Lori Lynn Laroche | Physical Therapist | 999 Oronoque Ln, Stratford, CT 06614-1379 | 2015-01-22 |
| 1639502321 | Ryders Rehabilitation, LLC | Clinic/Center | 999 Oronoque Ln, First Floor, Stratford, CT 06614-1379 | 2013-08-16 |
| 1295041739 | S Colwell, LLC | Clinic/Center | 999 Oronoque Ln, 2nd Floor North, Stratford, CT 06614-1379 | 2010-08-22 |
| 1720253578 | David Zucker Md LLC | Psychiatry & Neurology | 999 Oronoque Ln, 3rd Floor, Stratford, CT 06614-1379 | 2008-04-23 |
| 1285650622 | Sharon Colwell | Nurse Practitioner | 999 Oronoque Ln, 2nd Floor, North, Stratford, CT 06614-1379 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588139604 | David A Crosby | Physician Assistant | 125 Pumpkin Ground Road, Stratford, CT 06614 | 2018-10-04 |
| 1710489232 | Karen Marie Laconte | Naturopath | 720 Hilltop Dr, Stratford, CT 06614 | 2018-02-28 |
| 1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
| 1558801423 | Kristine Lynn Conlan | Physical Therapist | 55 Pasadena Ave., Stratford, CT 06614 | 2017-02-27 |
| 1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
| 1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
| 1417328634 | Kelley Machado | Social Worker | 2127 Nichols Ave, Stratford, CT 06614 | 2015-10-14 |
| 1043629553 | Jennifer Woods-mesquita | Social Worker | 125 Greenlawn Ave, Stratford, CT 06614 | 2014-08-08 |
| 1437564010 | Jose R. Pacheco | Obstetrics & Gynecology | 120 Brightwood Ave, Stratford, CT 06614 | 2014-06-23 |
| 1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
| Find all providers in zip 06614 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790341352 | Marcee Professional Homecare Agency LLC | Home Health | 1186 Stratford Ave, Stratford, CT 06615-6320 | 2019-05-19 |
| 1467997130 | Thrive Therapy Services LLC | Home Health | 843 Cutspring Rd, Stratford, CT 06614-2448 | 2017-01-04 |
| 1306207295 | Idayat Obisesan | Home Health | 250 Boston Ave, Stratford, CT 06614-5211 | 2016-03-18 |
| 1225225055 | Quality Medical Training Center | Home Health | 2945 Main St, Suite B, 2nd Fl, Stratford, CT 06614-4978 | 2007-09-25 |
| 1336178276 | Stratford Visiting Nurse Association, Inc. | Home Health | 88 Ryders Ln, Stratford, CT 06614-1666 | 2006-07-02 |
| 1588691448 | Gentiva Certified Healthcare Corp. | Home Health | 99 Hawley Lane, Suite 1101, Stratford, CT 06614-1204 | 2006-06-27 |
| 1073558680 | Specialty Personnel Services, Inc. | Home Health | 2420 Main St, Unit #8, Stratford, CT 06615-5951 | 2006-06-18 |
| 1134128895 | Equinox Home Care, LLC | Home Health | 305 Boston Avenue, Suite 308, Stratford, CT 06614-5246 | 2005-07-15 |
| 1285050070 | Caring Arms Homecare | Home Health | 411 Barnum Ave, 134, Stratford, CT 06614-5100 | 2014-03-17 |
| 1275764219 | Equinox Home Care Visiting Nurse Agency, Inc | Home Health | 305 Boston Ave, Suite 302, Stratford, CT 06614-5246 | 2009-08-06 |
| Find all providers in STRATFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.