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PEDIATRIC SERVICES OF AMERICA, LLC
NPI 1770972853
Home Health in Plymouth, MA

Active since January 13, 2015CLIA 22D2094108 · Waiver
116 LONG POND RD, STE 9, PLYMOUTH, MA 02360(508) 591-4113(508) 591-4114 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2021, Jan 9, 2019, Jan 3, 2019 (3 updates tracked since 2019).

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 1770972853), doing business as Aveanna Healthcare, is a healthcare organization registered as a home health in Plymouth, Massachusetts and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through April 9, 2027 and lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1770972853
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NamePEDIATRIC SERVICES OF AMERICA, LLC
Location Address116 LONG POND RD, STE 9Plymouth, MA 02360-2663
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000 · Fax (770) 248-8192
Phone(508) 591-4113
Fax(508) 591-4114
Organization SubpartNo
Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000
Enumeration DateJanuary 13, 2015
Last NPPES UpdateJanuary 27, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
✔ NPI 1770972853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Also ListedNursing CareTaxonomy 251J00000X
116 LONG POND RD, Plymouth, MA 02360
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Other Names 1

Doing Business AsAveanna Healthcare

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 22D2094108

Pediatric Services Of America LLC Dba Aveanna Healthcare · Plymouth, MA
Active · expires Apr 9, 2027
CLIA Number22D2094108
Laboratory TypeHome Health Agency
Certificate Effective DateApril 10, 2025
Certificate Expiration DateApril 9, 2027
Laboratory DirectorErica Dubois
Laboratory Phone(508) 591-4113
Laboratory LocationPediatric Services Of America LLC Dba Aveanna Healthcare116 Long Pond Road, Suite 9, Plymouth, MA 02360
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

HENRY BRAWLEY
Counselor (Addiction (Substance Use Disorder))
116 LONG POND RD
PLYMOUTH, MA 02360
Plymouth County (774) 773-3905
LITTLE SNACKERS THERAPEUTIC PROGRAMS
Occupational Therapist
116 LONG POND RD
PLYMOUTH, MA 02360
Plymouth County (774) 454-9481
TERESA BOHMBACH
Registered Nurse
116 LONG POND RD
PLYMOUTH, MA 02360
Plymouth County (774) 773-9623
GRACE HSIEH
Nurse Practitioner (Family)
116 LONG POND RD
PLYMOUTH, MA 02360
Plymouth County (857) 488-9719
ELIZABETH ANNE MONAGHAN LCSW
Social Worker (Clinical)
116 LONG POND RD
PLYMOUTH, MA 02360
Plymouth County (617) 435-4639
AFFILIATED FOOT CARE, PC
Podiatrist
116 LONG POND RD
PLYMOUTH, MA 02360
Plymouth County (508) 747-3567
KATIE MURRAY RN
Registered Nurse
116 LONG POND RD
PLYMOUTH, MA 02360
Plymouth County (774) 826-3732
DR. KENZIE HACKETT PHARMD
Pharmacist (Geriatric)
116 LONG POND RD
PLYMOUTH, MA 02360
Plymouth County (774) 467-0939

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 1770972853. It was assigned to this organization in the NPPES registry on January 13, 2015. The provider is doing business as Aveanna Healthcare.

Where is Pediatric Services Of America, LLC located?

Pediatric Services Of America, LLC is located at 116 Long Pond Rd Ste 9, Plymouth, MA 02360. The listed phone number is (508) 591-4113.

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

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

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

Yes. A Certificate of Waiver (number 22D2094108) is associated with this NPI, valid through April 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.