PEDIATRIC SERVICES OF AMERICA, LLC
NPI 1114955309
Nursing Care in Raleigh, NC

Active since June 28, 2006CLIA 34D0930460 · Waiver
110 HORIZON DR STE 100, RALEIGH, NC 27615(919) 341-3933(919) 341-7234 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 22, 2026, Apr 5, 2026, Jul 12, 2021 and 3 more (6 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 1114955309), doing business as Aveanna Healthcare, is a healthcare organization registered as a nursing care in Raleigh, North Carolina and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through July 14, 2027 and lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1114955309
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NamePEDIATRIC SERVICES OF AMERICA, LLC
Location Address110 HORIZON DR STE 100Raleigh, NC 27615-4927
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000 · Fax (770) 248-8192
Fax(919) 341-7234
Organization SubpartNo
Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000
Enumeration DateJune 28, 2006
Last NPPES UpdateApril 22, 20266 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
NPI 1114955309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
License Licensed in NC · HC0828
Definition

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.

Also ListedHome HealthTaxonomy 251E00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
110 HORIZON DR STE 100, Raleigh, NC 27615

Other Names 1

Doing Business AsAveanna Healthcare

Other Identifiers 2

Medicaid3408666NC
Medicaid7100325NC

Accepted Insurance

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 34D0930460

Pediatric Services Of America, LLC Dba Aveanna Healthcare · Raleigh, NC
Active · expires Jul 14, 2027
CLIA Number34D0930460
Laboratory TypeHome Health Agency
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorLeslee Johnson
Laboratory Phone(919) 341-3933
Laboratory LocationPediatric Services Of America, LLC Dba Aveanna Healthcare110 Horizon Drive, Suite 100, Raleigh, NC 27615
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 347190), from CMS Care Compare.

Aveanna Healthcare

Home health agency · Raleigh, NC
OwnershipProprietary
CMS Certification Number347190
Medicare-Certified SinceJune 1, 1992
Services Offered
Skilled nursing care Physical therapy Occupational therapy Speech-language pathology Home health aide services

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
110 HORIZON DR STE 100
RALEIGH, NC 27615
Occupational Therapy Assistant
110 HORIZON DR STE 100
RALEIGH, NC 27615
Occupational Therapy Assistant
110 HORIZON DR STE 100
RALEIGH, NC 27615
Occupational Therapy Assistant
110 HORIZON DR STE 100
RALEIGH, NC 27615
Physical Therapist
110 HORIZON DR STE 100
RALEIGH, NC 27615
Occupational Therapist
110 HORIZON DR STE 100
RALEIGH, NC 27615
Occupational Therapist
110 HORIZON DR STE 100
RALEIGH, NC 27615

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 1114955309. It was assigned to this organization in the NPPES registry on June 28, 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 110 Horizon Dr Ste 100, Raleigh, NC 27615. The listed phone number is (919) 341-3933.

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

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

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

Yes. A Certificate of Waiver (number 34D0930460) is associated with this NPI, valid through July 14, 2027. 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 June 1, 1992.

What insurance does Pediatric Services Of America, LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Pediatric Services Of America, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Services Of America, LLC was last updated on April 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.