PEDIATRIC SERVICES OF AMERICA, LLC
NPI 1295757227
Clinic/Center - Medically Fragile Infants and Children Day Care in West Palm Beach, FL

NPI Status: Active since July 25, 2006

Contact Information

2005 VISTA PKWY
SUITE 110 A
WEST PALM BEACH, FL
ZIP 33411
Phone: (561) 683-5758
Fax: (561) 683-3416

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  • Organization
  • Clinic/Center
  • Medically Fragile Infants and Children D...
  • Accepts Insurance
  • CLIA Number: 10D1002172
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 07-29-2026

About PEDIATRIC SERVICES OF AMERICA, LLC

This page provides the complete NPI Profile along with additional information for Pediatric Services Of America, Llc, a provider established in West Palm Beach, Florida operating as a Clinic/center, focusing in medically fragile infants and children day care . The healthcare provider is registered in the NPI registry with number 1295757227 assigned on July 2006. The practitioner's primary taxonomy code is 261QM3000X with license number PPC6010096 (FL). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Matthew Buckhalter (Cfo)

NPI
1295757227
Provider Legal Name
PEDIATRIC SERVICES OF AMERICA, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
2005 VISTA PKWY SUITE 110 A WEST PALM BEACH, FL 33411
Location Phone
(561) 683-5758
Location Fax
(561) 683-3416
Mailing Address
400 INTERSTATE NORTH PKWY SE STE 1600 ATLANTA, GA 30339
Mailing Phone
(470) 464-8000
Mailing Fax
(561) 683-3416
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-25-2006
Last Update Date
01-27-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Medically Fragile Infants and Children Day Care

Taxonomy Code
261QM3000X
Type
Ambulatory Health Care Facilities
License No.
PPC6010096
License State
FL
Taxonomy Description
An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QR0400XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete VALUE Gold - HMO
  • Focused VALUE Silver - HMO
  • Focused VALUE Silver + Vision + Adult Dental - HMO
  • Standard Gold VALUE - HMO
  • Standard Silver VALUE - HMO
  • Standard Silver VALUE + Vision + Adult Dental - HMO
  • Clarity Silver - HMO
  • Clarity VALUE Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete VALUE Gold - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite VALUE Bronze - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Focused VALUE Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze VALUE - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MATTHEW BUCKHALTER

Authorized Official Title
CFO
Authorized Official Phone
(470) 464-8000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
884708800MEDICAID (05)FL 
300198900MEDICAID (05)FL 
300204700MEDICAID (05)FL 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D1002172
Facility Type
Home Health Agency
Certificate Effective Date
July 30, 2024
Certificate Expiration Date
July 29, 2026
Laboratory Director
VICTORIA VASQUEZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pediatric Services Of America, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PEDIATRIC SERVICES OF AMERICA, LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1295757227, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 7 → 14 → 5 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 8 + 5 + 1 + 4 + 5 + 1 + 4 + 2 + 4 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1295757227.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Speech-Language Pathologist
2005 VISTA PKWY, SUITE 110A
WEST PALM BEACH, FL 33411
Clinic/Center (Rehabilitation)
2005 VISTA PKWY, STE 110-B
WEST PALM BEACH, FL 33411

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295757227, enumerated as an "organization" on July 25, 2006.

The provider is located at 2005 VISTA PKWY SUITE 110 A WEST PALM BEACH, FL 33411 and the phone number is (561) 683-5758.

Clinic/Center with taxonomy code 261QM3000X and a focus in Medically Fragile Infants and Children Day Care.

The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to verify.