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PEDIATRIC SERVICES OF AMERICA, LLC
NPI 1619908985
Nursing Care in Brockton, MA

Active since July 05, 2006CLIA 22D0886947 · Waiver
1324 BELMONT ST STE 204-205, BROCKTON, MA 02301(508) 586-9700(508) 583-0070 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 6, 2021, Jan 25, 2019, Jan 3, 2019 and 2 more (5 updates tracked since 2018).

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 1619908985), doing business as Aveanna Healthcare, is a healthcare organization registered as a nursing care in Brockton, Massachusetts and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through May 31, 2028 and lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1619908985
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NamePEDIATRIC SERVICES OF AMERICA, LLC
Location Address1324 BELMONT ST STE 204-205Brockton, MA 02301-4435
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000 · Fax (770) 248-8192
Phone(508) 586-9700
Fax(508) 583-0070
Organization SubpartNo
Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000
Enumeration DateJuly 5, 2006
Last NPPES UpdateJanuary 27, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
✔ NPI 1619908985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
Definition
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.
Also ListedHome HealthTaxonomy 251E00000X
1324 BELMONT ST STE 204-205, Brockton, MA 02301
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Other Names 1

Doing Business AsAveanna Healthcare

Other Identifiers 3

Other7482MA · Division Of Occupational Safety
Medicaid1538454MA
Medicaid0606936MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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 22D0886947

Pediatric Services Of America LLC Dba Aveanna Healthcare · Brockton, MA
Active · expires May 31, 2028
CLIA Number22D0886947
Laboratory TypeHome Health Agency
Certificate Effective DateJune 1, 2026
Certificate Expiration DateMay 31, 2028
Laboratory DirectorErica Dubois
Laboratory Phone(508) 586-9700
Laboratory LocationPediatric Services Of America LLC Dba Aveanna Healthcare20 Minuteman Way, Ste 2, Brockton, MA 02301
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 227447), from CMS Care Compare.

Aveanna Healthcare

Home health agency · Brockton, MA
OwnershipProprietary
CMS Certification Number227447
Medicare-Certified SinceAugust 20, 1996
Phone(508) 586-9700
Services Offered
Skilled nursing care Occupational therapy Home health aide services

Patient Care Measures

Patients whose home health care began in a timely manner
80.9%
Patients checked for a flu shot for the current season
23.7%
Physician-recommended actions on medication issues completed on time
87.5%
Patients with a functional assessment and care plan at admission and discharge
100%
Patients experiencing one or more falls with major injury
Lower rates are better for this measure.
0%
Measure rates are from the CMS Care Compare home health data. Measures without current CMS data are not shown.

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 1619908985. It was assigned to this organization in the NPPES registry on July 5, 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 1324 Belmont St Ste 204-205, Brockton, MA 02301. The listed phone number is (508) 586-9700.

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

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

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

Yes. A Certificate of Waiver (number 22D0886947) is associated with this NPI, valid through May 31, 2028. 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 August 20, 1996.

What insurance does Pediatric Services Of America, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care 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.