PEDIATRIC SERVICES OF AMERICA, INC. (NPI# 1912055732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912055732 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC SERVICES OF AMERICA, INC. |
| Other Organization Name | AVEANNA HEALTHCARE |
| Practice Address |
415 Boston Tpke Ste 101 Shrewsbury MA 01545-3414 |
| Mailing Address |
400 Interstate North Pkwy Se Ste 1600 Atlanta GA 30339-5047 |
| Practice Telephone | 5088425809 |
| Practice Fax Number | 5088424170 |
| Mailing Telephone | 7704411580 |
| Mailing Fax Number | 7702488192 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2018-12-04 |
| 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 | 251J00000X | Nursing Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | DIVISION OF LABOR STANDARDS | R03223 | 01 |
| MA | 110024470D | 05 |
| Other Name | Type Code |
|---|---|
| Aveanna Healthcare | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 415 Boston Tpke, Suite 303, Shrewsbury, MA 015453446 | 5088425809 |
| 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 |
| 1164446530 | Pediatric Services of America, Inc. | Clinic/Center | 4051 Phillips Hwy, Suite 2, Jacksonville, FL 32207-9305 | 2006-07-27 |
| 1992729362 | Pediatric Services of America, Inc. | Nursing Care | 1025 W H Smith Blvd, Ste 100, Greenville, NC 27834-5052 | 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 |
| Washington State Corporations | PEDIATRIC SERVICES OF AMERICA, INC. | 400 Interstate North Pkwy Se, Ste 1600, Atlanta, GA 30339-5047 |
| Street Address |
415 BOSTON TPKE STE 101 |
| City | SHREWSBURY |
| State | MA |
| Zip Code | 01545-3414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790252716 | Kerri Mccarty | Pharmacist | 539-571 Boston Turnpike, Shrewsbury, MA 01545 | 2018-10-29 |
| 1710469127 | Emily Graves | Speech-Language Pathologist | 15 Fox Hill Road, Shrewsbury, MA 01545 | 2018-08-31 |
| 1558847780 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 720 Boston Tpke, Shrewsbury, MA 01545 | 2018-07-11 |
| 1023547718 | Anya Wolfe | Dentist | 193 Boston Tpke, Shrewsbury, MA 01545 | 2017-06-07 |
| 1992110506 | Careplus Transports LLC | Private Vehicle | 719 Grafton Street, Shrewsbury, MA 01545 | 2014-06-23 |
| 1699106328 | Marcienne Tallis Richardson | Registered Nurse | 415 Boston Turnpike, Shrewsbury, MA 01545 | 2013-12-05 |
| 1043555873 | Magdalena Barbara Farrell | Community Health Worker | 215 Lake St, Shrewsbury, MA 01545 | 2012-12-05 |
| 1639454507 | Amy Folta | Pharmacist | 225 Boston Trpk Road, Walgreens, Shrewsbury, MA 01545 | 2011-10-11 |
| 1205117710 | Shrewsbury Dental | Home Health | 16a Harrington Ave., Shrewsbury, MA 01545 | 2011-08-30 |
| 1639401334 | Shawn Fuller | Dentist | 193 Boston Tpke Ste 6140, Shrewsbury, MA 01545 | 2010-02-04 |
| Find all providers in zip 01545 | ||||
| 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 |
|---|---|---|---|---|
| 1376163063 | Carefree Pharmacy Inc. | Nursing Care | 22 Fossen Way, Andover, MA 01810-6300 | 2020-04-22 |
| 1972134104 | Destiny Services Inc | Nursing Care | 270 Lawrence St Apt 18, Lowell, MA 01852-3593 | 2020-01-27 |
| 1851938195 | Agile Healthcare Staffing Services LLC | Nursing Care | 702 Irving Rd, Randolph, MA 02368-1882 | 2019-12-05 |
| 1588219935 | Dillard Home Health Care, LLC | Nursing Care | 756 Washington St Ste D, Stoughton, MA 02072-2976 | 2019-08-02 |
| 1235695826 | Daniel Paul Jurczyk | Nursing Care | 531 Wheelwright Rd, Barre, MA 01005-8882 | 2019-02-19 |
| 1639643356 | Bethel Staffing LLC | Nursing Care | 11 Gibbs St Unit 59d, Worcester, MA 01607-2401 | 2019-01-15 |
| 1194203885 | Chantale Joseph Auguste | Nursing Care | 55 Cheever St, Milton, MA 02186-1126 | 2018-08-03 |
| 1073016705 | North Shore United Home Care LLC | Nursing Care | 205 Highland Ave Unit 1107, Salem, MA 01970-2743 | 2018-03-08 |
| 1316449697 | C and N Nursing Services and Homecare | Nursing Care | 225 Stedman St Ste 32, Lowell, MA 01851-2792 | 2018-03-02 |
| 1528573326 | Helping Hands Care Services 4u2bu L.l.c | Nursing Care | 473 Middleboro Ave, East Taunton, MA 02718-5142 | 2017-12-04 |
| Find all providers with the same taxonomy | ||||
| City | SHREWSBURY |
| Zip Code | 01545 |
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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.