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PEDIATRIC SERVICES OF AMERICA, LLC
NPI 1740218239
Nursing Care in Fairfax, VA

Active since June 30, 2006CLIA 49D0993905 · Waiver
3554 CHAIN BRIDGE RD STE 103, FAIRFAX, VA 22030(703) 873-7672(703) 455-3291 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 2, 2023, May 10, 2022, Apr 9, 2021 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 1740218239), doing business as Aveanna Healthcare, is a healthcare organization registered as a nursing care in Fairfax, Virginia and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through November 27, 2027 and lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1740218239
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NamePEDIATRIC SERVICES OF AMERICA, LLC
Location Address3554 CHAIN BRIDGE RD STE 103Fairfax, VA 22030-2709
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000 · Fax (770) 248-8192
Phone(703) 873-7672
Fax(703) 455-3291
Organization SubpartNo
Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000
Enumeration DateJune 30, 2006
Last NPPES UpdateJanuary 27, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
✔ NPI 1740218239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
License✔ Licensed in VA · 03-147
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
Also ListedRespite CareTaxonomy 385H00000X
3554 CHAIN BRIDGE RD STE 103, Fairfax, VA 22030
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Other Names 1

Doing Business AsAveanna Healthcare

Other Identifiers 2

Medicaid4971337VA
Medicaid8751048VA

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 49D0993905

Pediatric Services Of America, LLC Dba Aveanna Healthcare · Fairfax, VA
Active · expires Nov 27, 2027
CLIA Number49D0993905
Laboratory TypeHome Health Agency
Certificate Effective DateNovember 28, 2025
Certificate Expiration DateNovember 27, 2027
Laboratory DirectorJennifer Combs
Laboratory Phone(703) 455-4050
Laboratory LocationPediatric Services Of America, LLC Dba Aveanna Healthcare3554 Chain Bridge Road, Suite 103, Fairfax, VA 22030
CLIA data matches this NPI record on: Address Name
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 497577), from CMS Care Compare.

Aveanna Healthcare

Home health agency · Fairfax, VA
OwnershipProprietary
CMS Certification Number497577
Medicare-Certified SinceFebruary 5, 2003
Phone(703) 873-7672
Services Offered
Skilled nursing care Physical therapy Occupational therapy Speech-language pathology

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANNA MARIA ZGANIACZ LCP
Psychologist (Clinical)
3554 CHAIN BRIDGE RD STE 103
FAIRFAX, VA 22030
Fairfax City (703) 896-7628
KYOUNG DEOK BAIK PHD
Psychologist (Clinical)
3554 CHAIN BRIDGE RD STE 103
FAIRFAX, VA 22030
Fairfax City (703) 896-7628
MRS. SUSAN WIGTON SINCLAIR LCSW
Social Worker (Clinical)
3554 CHAIN BRIDGE RD STE 103
FAIRFAX, VA 22030
Fairfax City (703) 896-7621

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 1740218239. 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 3554 Chain Bridge Rd Ste 103, Fairfax, VA 22030. The listed phone number is (703) 873-7672.

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 49D0993905) is associated with this NPI, valid through November 27, 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 February 5, 2003.

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.