AVEANNA HEALTHCARE
NPI 1104848134
Home Health in Shelton, CT

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

The NPI number for Pediatric Services Of America, LLC is 1104848134. It was assigned to this organization in the NPPES registry on July 25, 2006. The provider is doing business as Aveanna Healthcare.

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

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

Active since July 25, 2006CLIA Certified · 2 labs

1000 BRIDGEPORT AVE STE 309, SHELTON, CT 06484(203) 381-1530(203) 381-1535 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2022, May 19, 2021, Apr 20, 2021 and 3 more (6 updates tracked since 2015).

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About Aveanna Healthcare NPPES

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

AVEANNA HEALTHCARE (NPI 1104848134) is a healthcare organization registered as a home health in Shelton, Connecticut and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Plainville, and lists Kate Speer, Avp, Regulatory Licensing, as its authorized official.

NPPES Registry Identity

NPI1104848134

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NamePEDIATRIC SERVICES OF AMERICA, LLC

Location Address1000 BRIDGEPORT AVE STE 309Shelton, CT 06484-4660

Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000 · Fax (770) 248-8192

Phone(203) 381-1530

Fax(203) 381-1535

Organization SubpartNo

Authorized OfficialKate SpeerAvp, Regulatory Licensing · (952) 358-3278

Enumeration DateJuly 25, 2006

Last NPPES UpdateMarch 10, 20226 updates tracked since enumeration

NPPES CertifiedMarch 10, 2022

✔ NPI 1104848134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

License✔ Licensed in CT · C9612701

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.

1000 BRIDGEPORT AVE STE 309, Shelton, CT 06484

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Other Names 1

Doing Business AsAveanna Healthcare

Secondary Practice Location 1

Location 1146 New Britain Ave Ste 1Plainville, CT 06062-2077 · Phone (860) 747-3306 · Fax (860) 747-4064

Other Identifiers 2

Medicaid004217304CT

Medicaid4187953CT

CLIA Laboratory Certificates CMS CLIA 2

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 07D0877467

Pediatric Services Of America, LLC D/B/A Aveanna Healthcare · Shelton, CT

Active · expires Oct 3, 2027

CLIA Number07D0877467

Laboratory TypeHome Health Agency

Certificate Effective DateOctober 4, 2025

Certificate Expiration DateOctober 3, 2027

Laboratory DirectorLaurie Ann Davus

Laboratory Phone(203) 381-1530

Laboratory LocationPediatric Services Of America, LLC D/B/A Aveanna Healthcare1000 Bridgeport Ave, Ste 309, Shelton, CT 06484

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 07D2087193

Pediatric Services Of America, Inc D/B/A - Aveanna Healthcare · Plainville, CT

Active · expires Nov 18, 2026

CLIA Number07D2087193

Laboratory TypeHome Health Agency

Certificate Effective DateNovember 19, 2024

Certificate Expiration DateNovember 18, 2026

Laboratory DirectorLaurie Davis

Laboratory Phone(860) 474-3306

Laboratory LocationPediatric Services Of America, Inc D/B/A - Aveanna Healthcare146 New Britain Ave, Plainville, CT 06062

CLIA data matches this NPI record on: Address Name

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 077199), from CMS Care Compare.

Aveanna Healthcare

Home health agency · Stratford, CT

OwnershipProprietary

CMS Certification Number077199

Medicare-Certified SinceNovember 18, 1993

Phone(203) 381-1530

Services Offered

Skilled nursing care Physical therapy Occupational therapy Speech-language pathology Medical social services 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 1104848134. It was assigned to this organization in the NPPES registry on July 25, 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 1000 Bridgeport Ave Ste 309, Shelton, CT 06484. The listed phone number is (203) 381-1530.

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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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

Yes. Aveanna Healthcare is a Medicare-certified home health agency, certified since November 18, 1993.

When was this NPI record last updated?

The NPPES record for Pediatric Services Of America, LLC was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.