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AVEANNA HEALTHCARE
NPI 1487318036
Day Training, Developmentally Disabled Services in Ft Lauderdale, FL

Active since October 28, 2021CLIA 10D0919880 · Waiver
1700 NW 64TH ST STE 450, FT LAUDERDALE, FL 33309(954) 567-9112(954) 567-9328 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Aveanna Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVEANNA HEALTHCARE (NPI 1487318036) is a healthcare organization registered as a day training, developmentally disabled services in Ft Lauderdale, Florida and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through September 17, 2026 and lists David Afshar, Ceo, as its authorized official.

NPPES Registry Identity

NPI1487318036
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NamePEDIATRIC SERVICES OF AMERICA, LLC
Location Address1700 NW 64TH ST STE 450Ft Lauderdale, FL 33309-1870
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000 · Fax (770) 248-8192
Phone(954) 567-9112
Fax(954) 567-9328
Organization SubpartNo
Authorized OfficialDavid AfsharCeo · (470) 464-8000
Enumeration DateOctober 28, 2021
Last NPPES UpdateFebruary 9, 2022
NPPES CertifiedFebruary 9, 2022
✔ NPI 1487318036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies
Taxonomy Code251C00000X
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
1700 NW 64TH ST STE 450, Ft Lauderdale, FL 33309
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Other Names 1

Doing Business AsAveanna Healthcare

Other Identifiers 1

Medicaid650733696FL

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 10D0919880

Pediatric Services Of America LLC Dba Aveanna Healthcare · Fort Lauderdale, FL
Active · expires Sep 17, 2026
CLIA Number10D0919880
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 18, 2024
Certificate Expiration DateSeptember 17, 2026
Laboratory DirectorFrankie Marsh
Laboratory Phone(954) 567-9112
Laboratory LocationPediatric Services Of America LLC Dba Aveanna Healthcare1700 NW 64th St Suite 450, Fort Lauderdale, FL 33309
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1487318036. It was assigned to this organization in the NPPES registry on October 28, 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 1700 NW 64th St Ste 450, Ft Lauderdale, FL 33309. The listed phone number is (954) 567-9112.

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

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

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

Yes. A Certificate of Waiver (number 10D0919880) is associated with this NPI, valid through September 17, 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 February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.