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PEDIATRIC SERVICES OF AMERICA, LLC
NPI 1487914495
Home Health in Olyphant, PA

Active since May 23, 2012CLIA 39D2052714 · Waiver
1456 E LACKAWANNA ST, OLYPHANT, PA 18447(570) 319-2053(570) 591-1801 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2021, Nov 2, 2018, Oct 23, 2018 and 2 more (5 updates tracked since 2016).

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 1487914495), doing business as Aveanna Healthcare, is a healthcare organization registered as a home health in Olyphant, Pennsylvania and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through January 16, 2027 and lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1487914495
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePEDIATRIC SERVICES OF AMERICA, LLC
Location Address1456 E LACKAWANNA STOlyphant, PA 18447-2151
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000
Phone(570) 319-2053
Fax(570) 591-1801
Organization SubpartNo
Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000
Enumeration DateMay 23, 2012
Last NPPES UpdateJanuary 27, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
✔ NPI 1487914495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Also ListedNursing CareTaxonomy 251J00000X
1456 E LACKAWANNA ST, Olyphant, PA 18447
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Other Names 1

Doing Business AsAveanna Healthcare

Other Identifiers 1

Other05040501PA · Hha License

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 39D2052714

Pediatric Services Of America, LLC D/B/A Aveanna Healthcare · Olyphant, PA
Active · expires Jan 16, 2027
CLIA Number39D2052714
Laboratory TypeHome Health Agency
Certificate Effective DateJanuary 17, 2025
Certificate Expiration DateJanuary 16, 2027
Laboratory DirectorMatthew Marriggi
Laboratory Phone(570) 319-2053
Laboratory LocationPediatric Services Of America, LLC D/B/A Aveanna Healthcare1456 E Lackawanna Avenue, Olyphant, PA 18447
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Aveanna Healthcare (CMS certification number 398213), from CMS Care Compare.

Aveanna Healthcare

Home health agency · Olyphant, PA
OwnershipProprietary
CMS Certification Number398213
Medicare-Certified SinceDecember 12, 2013
Phone(570) 319-2053
Services Offered
Skilled nursing care Home health aide services

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 1487914495. It was assigned to this organization in the NPPES registry on May 23, 2012. The provider is doing business as Aveanna Healthcare.

Where is Pediatric Services Of America, LLC located?

Pediatric Services Of America, LLC is located at 1456 E Lackawanna St, Olyphant, PA 18447. The listed phone number is (570) 319-2053.

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

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

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

Yes. A Certificate of Waiver (number 39D2052714) is associated with this NPI, valid through January 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Pediatric Services Of America, LLC a Medicare-certified home health agency?

Yes. Aveanna Healthcare is a Medicare-certified home health agency, certified since December 12, 2013.

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.