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PEDIATRIC SERVICES OF AMERICA, LLC
NPI 1023045218
Home Health in Media, PA

Active since June 26, 2006CLIA 39D0884701 · Waiver
1400 N PROVIDENCE RD STE 300 SOUTH, MEDIA, PA 19063(215) 887-4009(215) 887-4246 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2021, Oct 23, 2018, Mar 13, 2018 and 2 more (5 updates tracked since 2016).

About Pediatric Services Of America, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC SERVICES OF AMERICA, LLC (NPI 1023045218), doing business as Aveanna Healthcare, is a healthcare organization registered as a home health in Media, Pennsylvania and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through April 6, 2028 and lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1023045218
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePEDIATRIC SERVICES OF AMERICA, LLC
Location Address1400 N PROVIDENCE RD STE 300 SOUTHMedia, PA 19063-2050
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000 · Fax (770) 248-8192
Phone(215) 887-4009
Fax(215) 887-4246
Organization SubpartNo
Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000
Enumeration DateJune 26, 2006
Last NPPES UpdateJanuary 27, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
✔ NPI 1023045218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in PA · 758305
Definition
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.
1400 N PROVIDENCE RD STE 300 SOUTH, Media, PA 19063
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Other Names 1

Doing Business AsAveanna Healthcare

Other Identifiers 1

Medicaid100007962 0017PA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0884701

Pediatric Services Of America, LLC D/B/A Aveanna Healthcare · Media, PA
Active · expires Apr 6, 2028
CLIA Number39D0884701
Laboratory TypeHome Health Agency
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorAiesha Roane
Laboratory Phone(215) 887-4009
Laboratory LocationPediatric Services Of America, LLC D/B/A Aveanna Healthcare1400 N Providence Road, Ste 300 South, Media, PA 19063
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Aveanna Healthcare (CMS certification number 397583), from CMS Care Compare.

Aveanna Healthcare

Home health agency · Media, PA
OwnershipProprietary
CMS Certification Number397583
Medicare-Certified SinceMarch 21, 1994
Phone(215) 887-4009
Services Offered
Skilled nursing care Home health aide services

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Services Of America, LLC's NPI number?

The NPI number for Pediatric Services Of America, LLC is 1023045218. It was assigned to this organization in the NPPES registry on June 26, 2006. The provider is doing business as Aveanna Healthcare.

Where is Pediatric Services Of America, LLC located?

Pediatric Services Of America, LLC is located at 1400 N Providence Rd Ste 300 South, Media, PA 19063. The listed phone number is (215) 887-4009.

What is Pediatric Services Of America, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Pediatric Services Of America, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0884701) is associated with this NPI, valid through April 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Pediatric Services Of America, LLC a Medicare-certified home health agency?

Yes. Aveanna Healthcare is a Medicare-certified home health agency, certified since March 21, 1994.

When was this NPI record last updated?

The NPPES record for Pediatric Services Of America, LLC was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.