PEDIATRIC SERVICES OF AMERICA, LLC
NPI 1609284546
Nursing Care in Lakewood, WA
- Organization
- Nursing Care
- Accepts Insurance
- CLIA Number: 50D2085011
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 04-04-2028
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 Lakewood, Washington operating as a Nursing Care. The healthcare provider is registered in the NPI registry with number 1609284546 assigned on July 2014. The practitioner's primary taxonomy code is 251J00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Matthew Buckhalter (Cfo)
- NPI
- 1609284546 Verify this NPI
- Provider Name
- PEDIATRIC SERVICES OF AMERICA, LLC
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 7602 BRIDGEPORT WAY W STE 2B LAKEWOOD, WA 98499
- Location Phone
- (360) 651-0520
- Location Fax
- (360) 651-0539
- Mailing Address
- 400 INTERSTATE NORTH PKWY SE STE 1600 ATLANTA, GA 30339
- Mailing Phone
- (470) 464-8000
- Mailing Fax
- (770) 248-8192
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-23-2014
- Last Update Date
- 01-27-2025
- Code Navigator
Location Map
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
Nursing Care
- Taxonomy Code
- 251J00000X
- Type
- Agencies
- Taxonomy Description
- A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 50D2085011
- Facility Type
- Home Health Agency
- Certificate Effective Date
- October 06, 2014
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- MARTHA L. VANDAGRIFF
- 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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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609284546, enumerated as an "organization" on July 23, 2014.
The provider is located at 7602 BRIDGEPORT WAY W STE 2B LAKEWOOD, WA 98499 and the phone number is (360) 651-0520.
Nursing Care with taxonomy code 251J00000X.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.
