PEDIATRIC SERVICES OF AMERICA, INC (NPI# 1821410234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821410234 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC SERVICES OF AMERICA, INC |
| Other Organization Name | AVEANNA HEALTHCARE |
| Practice Address |
1544 E 3rd St Williamsport PA 17701-5404 |
| Mailing Address |
400 Interstate North Pkwy Se Ste 1600 Atlanta GA 30339-5047 |
| Practice Telephone | 5706014790 |
| Practice Fax Number | 5705053624 |
| Mailing Telephone | 7702488740 |
| Mailing Fax Number | 7702488192 |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2018-10-23 |
| 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 |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | Agencies | ||
| Y | 251E00000X | Home Health | Agencies |
| 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 |
| 1346556917 | Pediatric Services of America, Inc | Home Health | 3105 Citrus Tower Blvd, Suite A, Clermont, FL 34711-6892 | 2010-08-20 |
| 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 |
| Street Address |
1544 E 3RD ST |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-5404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194763037 | Southerncare, Inc. | Hospice Care, Community Based | 1544 E 3rd St, Ste 2, Williamsport, PA 17701-5404 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| 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 |
|---|---|---|---|---|
| 1285279414 | Helping Hands Home Health, LLC | Home Health | 45 W 4th St, Williamsport, PA 17701-6212 | 2019-11-12 |
| 1831685411 | Bayada Home Health, Care, Inc. | Home Health | 573 E 3rd St, Williamsport, PA 17701-5316 | 2018-07-06 |
| 1033643820 | Ashtons Ashtons | Home Health | 1235 W Southern Ave, Williamsport, PA 17702-7142 | 2017-04-18 |
| 1245612910 | Amanda Knopp | Home Health | 539 Keller Loop, Williamsport, PA 17701-9394 | 2015-06-18 |
| 1902235195 | Residential Home Health of Nc Pa, LLC | Home Health | 427 Hepburn St, Williamsport, PA 17701-6122 | 2013-11-07 |
| 1912296567 | Bayada Home Health Care, Inc. | Home Health | 49 E 4th St, Suites 201 & 203, Williamsport, PA 17701-6355 | 2011-04-05 |
| 1013495886 | Home Nursing Agency & Visiting Nurse Association | Home Health | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2018-08-02 |
| 1881189256 | Upmc Home Healthcare of Central Pennsylvania | Home Health | 1100 Grampian Blvd, Four South, Williamsport, PA 17701 | 2018-06-27 |
| 1336680339 | Maxim Healthcare Services Inc | Home Health | 1000 Commerce Park Dr, Suite 104, Williamsport, PA 17701-5475 | 2017-03-10 |
| 1891000659 | Bayada Home Health Care, Inc. | Home Health | 209 E 3rd St, Williamsport, PA 17701-6620 | 2010-08-17 |
| Find all providers in WILLIAMSPORT | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
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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.