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

Active since July 25, 2006
2005 VISTA PKWY, SUITE 110 A, WEST PALM BEACH, FL 33411(561) 683-5758(561) 683-3416 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 31, 2021, Mar 18, 2019, Dec 31, 2015 (3 updates tracked since 2015).

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 1295757227), doing business as Aveanna Healthcare, is a healthcare organization registered as a medically fragile infants and children day care in West Palm Beach, Florida and active in the NPI registry since July 2006. The organization lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1295757227
Entity TypeOrganization
Primary Taxonomy261QM3000X
Legal Business NamePEDIATRIC SERVICES OF AMERICA, LLC
Location Address2005 VISTA PKWY, SUITE 110 AWest Palm Beach, FL 33411-2719
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000 · Fax (770) 248-8192
Fax(561) 683-3416
Organization SubpartNo
Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000
Enumeration DateJuly 25, 2006
Last NPPES UpdateJanuary 27, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
NPI 1295757227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Medically Fragile Infants and Children Day CareAmbulatory Health Care Facilities
Taxonomy Code261QM3000X
License Licensed in FL · PPC6010096
Definition
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.).
Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X
2005 VISTA PKWY, West Palm Beach, FL 33411

Other Names 1

Doing Business AsAveanna Healthcare

Other Identifiers 3

Medicaid884708800FL
Medicaid300198900FL
Medicaid300204700FL

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 10D1002172

Pediatric Services Of America LLC Dba Aveanna Healthcare · West Palm Beach, FL
Expired · Jul 29, 2026
CLIA Number10D1002172
Laboratory TypeHome Health Agency
Certificate Effective DateJuly 30, 2024
Certificate Expiration DateJuly 29, 2026
Laboratory DirectorFawn Miller
Laboratory Phone(561) 683-5758
Laboratory LocationPediatric Services Of America LLC Dba Aveanna Healthcare2005 Vista Pkwy Ste 110-A, West Palm Beach, FL 33411
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

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 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 1295757227. 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 2005 Vista Pkwy Suite 110 A, West Palm Beach, FL 33411. The listed phone number is (561) 683-5758.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Medically Fragile Infants and Children Day Care, with taxonomy code 261QM3000X.

What insurance does Pediatric Services Of America, LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama 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 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.