PEDIATRIC SERVICES OF AMERICA, LLC
NPI 1164197919
Clinic/Center - Rehabilitation in Melbourne, FL
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 1164197919), doing business as Aveanna Healthcare, is a healthcare organization registered as a rehabilitation in Melbourne, Florida and active in the NPI registry since August 2021. The organization lists Matthew Buckhalter, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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 10D1002171
Pediatric Services Of America LLC Dba Aveanna Healthcare · Melbourne, FLFrequently 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 1164197919. It was assigned to this organization in the NPPES registry on August 13, 2021. The provider is doing business as Aveanna Healthcare.
Where is Pediatric Services Of America, LLC located?
Pediatric Services Of America, LLC is located at 760 North Drive Suite E & F, Melbourne, FL 32934. The listed phone number is (321) 253-2000.
What is Pediatric Services Of America, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.
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.
# Pediatric Services Of America, Llc · NPI 1164197919
Rehabilitation organization in Melbourne, Florida. Organization record, active in the CMS NPPES registry since August 13, 2021.
## Identity
- **NPI:** 1164197919 (Entity type: Organization)
- **Enumerated:** August 13, 2021
- **Primary specialty:** Clinic/Center - Rehabilitation · taxonomy 261QR0400X
- **Also known as:** Aveanna Healthcare (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Matthew Buckhalter, CFO
## Practice location
- **Address:** 760 NORTH DRIVE, SUITE E & F, Melbourne, FL 32934
- **Phone:** (321) 253-2000
## Record status
- **NPPES last updated:** January 27, 2025
- **Other identifiers:** Medicaid 884161601 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164197919) · Data from the CMS NPPES public registry.