PEDIATRIC SERVICES OF AMERICA, INC (NPI# 1346556917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346556917 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC SERVICES OF AMERICA, INC |
| Other Organization Name | AVEANNA HEALTHCARE |
| Practice Address |
3105 Citrus Tower Blvd Suite A Clermont FL 34711-6892 |
| Mailing Address |
400 Interstate North Pkwy Se Ste 1600 Atlanta GA 30339-5047 |
| Practice Telephone | 3522418016 |
| Practice Fax Number | 3522418025 |
| Mailing Telephone | 7702488740 |
| Mailing Fax Number | 7702488192 |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2019-09-18 |
| Authorized Official Name | VICKI WHITESIDE (DIRECTOR REGULATORY LICENSING) |
| Authorized Official Telephone | 7702488740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| Y | 251J00000X | Nursing Care | 299993758 | FL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002835800 | 05 |
| Other Name | Type Code |
|---|---|
| Aveanna Healthcare | Doing Business As Name - Organization |
| PSA Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609284546 | Pediatric Services of America, Inc | Nursing Care | 7602 Bridgeport Way W Ste 2b, Lakewood, WA 98499-2415 | 2014-07-23 |
| 1720499932 | Pediatric Services of America, Inc | Nursing Care | 55 Main St Unit 350, Norwich, CT 06360-5760 | 2014-05-12 |
| 1598185498 | Pediatric Services of America, Inc | Home Health | 1316 Nw John Jones Dr, Burleson, TX 76028-8040 | 2014-04-18 |
| 1639467327 | Pediatric Services of America, Inc | Nursing Care | 225 Country Club Dr Ste 240, Stockbridge, GA 30281-7339 | 2011-07-14 |
| 1831493790 | Pediatric Services of America, Inc | Nursing Care | 6316 Saint Andrews Rd, Ste A, Columbia, SC 29212-3168 | 2011-01-06 |
| 1285897025 | Pediatric Services of America, Inc | Nursing Care | 400 Interstate North Pkwy Se Ste 1600, Atlanta, GA 30339-5047 | 2008-07-02 |
| 1629000914 | Pediatric Services of America, Inc | Home Health | 126 Integra Breeze Ln Ste 3b, Daytona Beach, FL 32117-5554 | 2006-07-07 |
| 1891740601 | Pediatric Services of America, Inc | Nursing Care | 18440 Thompson Ct, Suite 108, Tinley Park, IL 60477-5426 | 2006-05-23 |
| 1104215235 | Pediatric Services of America, Inc | Nursing Care | 1115 Elkton Dr, Ste 102, Colorado Springs, CO 80907-8507 | 2015-01-13 |
| 1821410234 | Pediatric Services of America, Inc | Nursing Care | 1544 E 3rd St, Williamsport, PA 17701-5404 | 2014-01-21 |
| 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 |
3105 CITRUS TOWER BLVD SUITE A |
| City | CLERMONT |
| State | FL |
| Zip Code | 34711-6892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659379352 | Salma Hitawala | Internal Medicine | 3105 Citrus Tower Blvd, Suite A, Clermont, FL 34711-6892 | 2005-07-07 |
| 1750715330 | Tri Huynh Do Pllc | Internal Medicine | 3105 Citrus Tower Blvd, Suite B, Clermont, FL 34711-6892 | 2013-08-30 |
| 1407866494 | Stephen Michael Savoie | Chiropractor | 3105 Citrus Tower Blvd, Unit 3 Suite A, Clermont, FL 34711-6892 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546344 | Latricia Richards-smith | Nurse Practitioner | 3301 Hancock Rd, Clermont, FL 34711 | 2020-10-21 |
| 1073130399 | Marissa Johnston | Behavioral Analyst | 355 Citrus Tower Blvd Ste 112, Clermont, FL 34711 | 2020-07-02 |
| 1649839432 | New Foundations Aba Therapy, LLC | Community/Behavioral Health | 4327 S Hwy 27 #176 Clermont, Clermont, FL 34711 | 2019-06-06 |
| 1275006504 | Innovative Medical Management Solutions LLC | Skilled Nursing Facility | 1775 Hooks Street, Clermont, FL 34711 | 2019-01-09 |
| 1851867766 | Chantal P Baptiste | Nurse Practitioner | 2040 Oakley Seaver Dr Ste 300, Clermont, FL 34711 | 2018-10-17 |
| 1346739539 | Jennifer Brennan | Behavior Technician | 365 Citrus Tower Blvd Bldg Ste 106, Clermont, FL 34711 | 2018-05-03 |
| 1689163966 | Chelsea Strickland | Physical Therapy Assistant | 10037 Stockbridge St, Clermont, FL 34711 | 2018-05-02 |
| 1316448921 | Dana Renee Ottalagano | Counselor | 1635 E Highway 50 Ste 204, Clermont, FL 34711 | 2018-02-28 |
| 1306353842 | Center of Change Inc. | General Practice | 235 Citrus Tower Blvd Ste 104, Clermont, FL 34711 | 2018-01-05 |
| 1003328642 | Clermont Radiology LLC | Clinic/Center | 3725 South Highway 27, Suite 104, Clermont, FL 34711 | 2017-11-03 |
| Find all providers in zip 34711 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| 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. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628789 | Nurses Vision 2020, LLC | Nursing Care | 8471 Nw 78th Ct, Tamarac, FL 33321-1618 | 2020-10-31 |
| 1538768171 | Amun- Ra Health Services | Nursing Care | 6446 Tabogi Trl, Wesley Chapel, FL 33545-1360 | 2020-10-24 |
| 1316546971 | Aaim Nursing Agency | Nursing Care | 12952 Sw 133rd Ct Ste B, Miami, FL 33186-6175 | 2020-10-23 |
| 1316544760 | Asz Caring Hearts Inc | Nursing Care | 2800 W Oakland Park Blvd Ste 305, Oakland Park, FL 33311-1309 | 2020-10-07 |
| 1063019693 | Front Porch Nurse Registry LLC | Nursing Care | 1680 Sw Bayshore Blvd Ste 112, Port St Lucie, FL 34984-3518 | 2020-10-06 |
| 1750988895 | Coffee & Grace LLC | Nursing Care | 1821 N Pearl St Ste A, Jacksonville, FL 32206-3663 | 2020-10-01 |
| 1508473745 | Atlantic Care Services Clermont LLC | Nursing Care | 15430 County Road 565a Ste P, Groveland, FL 34736-8243 | 2020-09-30 |
| 1851908388 | Atlantic Care Services Haines City LLC | Nursing Care | 651 E Main St Ste 12, Haines City, FL 33844-4241 | 2020-09-29 |
| 1568079069 | Benevolent Heart LLC | Nursing Care | 13366 Ocean Mist Dr, Jacksonville, FL 32258-5204 | 2020-09-28 |
| 1134732910 | Serenity Love and Care LLC | Nursing Care | 1105 Jordan Park St S, St Petersburg, FL 33712-2126 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
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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.