PEDIATRIC SERVICES OF AMERICA, LLC
NPI 1356922983
In Home Supportive Care in Aurora, CO

Active since April 15, 2021CLIA 06D0894381 · Waiver
12100 E ILIFF AVE STE A-250, AURORA, CO 80014(303) 363-4107(303) 343-2182 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 1356922983), doing business as Aveanna Healthcare, is a healthcare organization registered as an in home supportive care in Aurora, Colorado and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through November 13, 2026 and lists Vicki Whiteside, Avp Regulatory Licensing, as its authorized official.

NPPES Registry Identity

NPI1356922983
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NamePEDIATRIC SERVICES OF AMERICA, LLC
Location Address12100 E ILIFF AVE STE A-250Aurora, CO 80014-6316
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (770) 441-1580
Fax(303) 343-2182
Organization SubpartNo
Authorized OfficialVicki WhitesideAvp Regulatory Licensing · (770) 248-8740
Enumeration DateApril 15, 2021
NPPES CertifiedMarch 24, 2021
NPI 1356922983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
12100 E ILIFF AVE STE A-250, Aurora, CO 80014

Other Names 1

Doing Business AsAveanna Healthcare

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 06D0894381

Pediatric Services Of America, LLC Dba - Aveanna Healthcare · Aurora, CO
Active · expires Nov 13, 2026
CLIA Number06D0894381
Laboratory TypeHome Health Agency
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorVictoria Baumgardner
Laboratory Phone(303) 363-4107
Laboratory LocationPediatric Services Of America, LLC Dba - Aveanna Healthcare12100 East Iliff Ave, Suite A-250, Aurora, CO 80014
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.

In Home Supportive Care
12100 E ILIFF AVE STE A-250
AURORA, CO 80014
Nursing Care
12100 E ILIFF AVE STE A-250
AURORA, CO 80014

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 1356922983. It was assigned to this organization in the NPPES registry on April 15, 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 12100 E Iliff Ave Ste A-250, Aurora, CO 80014. The listed phone number is (303) 363-4107.

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

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

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

Yes. A Certificate of Waiver (number 06D0894381) is associated with this NPI, valid through November 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatric Services Of America, LLC was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.