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

NPI Status: Active since June 30, 2006

Contact Information

3554 CHAIN BRIDGE RD STE 103
FAIRFAX, VA
ZIP 22030
Phone: (703) 873-7672
Fax: (703) 455-3291

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  • Organization
  • Nursing Care
  • CLIA Number: 49D0993905
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 11-27-2027

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 Fairfax, Virginia operating as a Nursing Care. The healthcare provider is registered in the NPI registry with number 1740218239 assigned on June 2006. The practitioner's primary taxonomy code is 251J00000X with license number 03-147 (VA). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Matthew Buckhalter (Cfo)

NPI
1740218239
Provider Legal Name
PEDIATRIC SERVICES OF AMERICA, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
3554 CHAIN BRIDGE RD STE 103 FAIRFAX, VA 22030
Location Phone
(703) 873-7672
Location Fax
(703) 455-3291
Mailing Address
400 INTERSTATE NORTH PKWY SE STE 1600 ATLANTA, GA 30339
Mailing Phone
(470) 464-8000
Mailing Fax
(703) 455-3291
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-30-2006
Last Update Date
01-27-2025
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According to the Home Health Compare program data, Pediatric Services Of America, Llc doesn't have a Quality of Patient Star Rating available at this time because the number of patient episodes for this measure is too small to report. To have a quality star rating computed, Home Health Agencies must have reported data for 5 of the 7 measures used in the Quality of Patient Care Star Ratings calculation. The seven measures used to calculate the quality star rating are: timely initiation of care, improvement in ambulation, bed transferring, bathing, shortness of breath, management of oral medications and relapse in acute care hospitalizations.

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
License No.
03-147
License State
VA
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251E00000XAgencies

Home Health

 
2385H00000XRespite Care Facility

Respite Care

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MATTHEW BUCKHALTER

Authorized Official Title
CFO
Authorized Official Phone
(470) 464-8000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
4971337MEDICAID (05)VA 
8751048MEDICAID (05)VA 

Nursing Home Compare Information

The Centers for Medicare and Medicaid Services publishes Home Health Compare quality of care data to provide consumers an easy way to compare "Medicare-certified" home health agencies throughout the nation. "Medicare-certified" home health agencies are approved by Medicare and meet certain federal health and safety requirements.

The Home Health Compare information helps consumers learn how well home health agencies care for their patients, how often each agency used best practices when caring for its patients and what patients said about their recent home health care experience.

Quality of Patient Care Rating Quality of Patient Care Rating
The quality of patient care star rating summarizes 8 of the 23 quality measures reported on Home Health Compare. It provides a single indicator of an agency's performance compared to other agencies.
- 0 out of 5 stars - The number of patient episodes for this measure is too small to report.
Ownership Type Ownership Type
Home health agencies can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities. The type of ownership may affect agency resources and how services are organized. Quality can vary in home health agencies within each of the different types of ownership. Each agency needs to be judged on its own merits.
Proprietary
Offers Nursing Care Offers Nursing Care?
The home health agency offers care given or supervised by registered nurses. Nurses provide direct care; manage, observe, and evaluate a patient’s care; and teach the patient and his or her family caregiver. Examples include: giving IV drugs, shots, or tube feedings; changing dressings; and teaching about diabetes care. Any service that could be done safely by a non-medical person (or by yourself) without the supervision of a nurse isn’t skilled nursing care. Medicare covers home health skilled nursing care that's part time and intermittent.
Yes
Offers Physical Therapy Offers Physical Therapy?
The home health agency offers treatment of injury and disease by mechanical means, like heat, light, exercise, and massage.
Yes
Offers Occupational Therapy Offers Occupational Therapy?
The home health agency offers services given to help you return to usual activities (like bathing, preparing meals, and housekeeping) after illness either on an inpatient or outpatient basis.
Yes
Offers Speech Therapy Offers Speech Therapy?
The home health agency offers services to assist with problems involving speech, language, and swallowing. Communication problems can be present at birth or develop after an injury or illness, like a stroke.
Yes
Offers Medical Social Services Medical Social Services?
The home health agency offers services to help with social and emotional concerns related to your illness. This might include counseling or help in finding resources in your community.
No
Offers Home Health Aide Offers Home Health Aide?
The home health agency offers part time or intermittent services to help with daily living activities.
No
Medicare Certification Date02-05-2003
Number of episodes used to calculate how much Medicare spends at this agency Number of episodes used to calculate how much Medicare spends at this agency
Number of episodes of care used to calculate how much Medicare spends on an episode of care at this agency, compared to Medicare spending across all agencies nationally.

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
49D0993905
Facility Type
Home Health Agency
Certificate Effective Date
November 28, 2025
Certificate Expiration Date
November 27, 2027
Laboratory Director
JENNIFER COMBS
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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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1740218239, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
4
Doubled → 8
Pos 4
0
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 2 → 4 8 → 16 → 7 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 8 + 0 + 4 + 1 + 1 + 6 + 2 + 6 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1740218239.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Psychologist (Clinical)
3554 CHAIN BRIDGE RD STE 103
FAIRFAX, VA 22030
Social Worker (Clinical)
3554 CHAIN BRIDGE RD STE 103
FAIRFAX, VA 22030
Psychologist (Clinical)
3554 CHAIN BRIDGE RD STE 103
FAIRFAX, VA 22030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740218239, enumerated as an "organization" on June 30, 2006.

The provider is located at 3554 CHAIN BRIDGE RD STE 103 FAIRFAX, VA 22030 and the phone number is (703) 873-7672.

Nursing Care with taxonomy code 251J00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.