PEDIATRIC SERVICES OF AMERICA, LLC
NPI 1689602120
Nursing Care in Fort Lauderdale, FL

Active since June 30, 2006
1700 NW 64TH ST, STE 450, FORT LAUDERDALE, FL 33309(954) 567-9112(954) 567-9328 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: Mar 8, 2021, Feb 27, 2019, Dec 28, 2015 (3 updates tracked since 2015).

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 1689602120), doing business as Aveanna Healthcare, is a healthcare organization registered as a nursing care in Fort Lauderdale, Florida and active in the NPI registry since June 2006. The organization lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1689602120
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NamePEDIATRIC SERVICES OF AMERICA, LLC
Location Address1700 NW 64TH ST, STE 450Fort Lauderdale, FL 33309-1800
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000 · Fax (770) 248-8192
Fax(954) 567-9328
Organization SubpartNo
Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000
Enumeration DateJune 30, 2006
Last NPPES UpdateJanuary 27, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
NPI 1689602120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
License Licensed in FL · HHA20620096
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.
1700 NW 64TH ST, Fort Lauderdale, FL 33309

Other Names 1

Doing Business AsAveanna Healthcare

Other Identifiers 2

Medicaid650733600FL
Medicaid650733696FL

Accepted Insurance

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.

Nurse Practitioner (Family)
1700 NW 64TH ST
FORT LAUDERDALE, FL 33309
Speech-Language Pathologist
1700 NW 64TH ST
FORT LAUDERDALE, FL 33309

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 1689602120. It was assigned to this organization in the NPPES registry on June 30, 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 1700 NW 64th St Ste 450, Fort 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 Nursing Care with taxonomy code 251J00000X.

What insurance does Pediatric Services Of America, LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer 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.