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AVEANNA HEALTHCARE
NPI 1811925308
Nursing Care in Vancouver, WA

Active since June 30, 2006
9105 NE HIGHWAY 99 STE 202, VANCOUVER, WA 98665(360) 693-7595(360) 693-7341 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 7, 2021, Jan 11, 2016 (2 updates tracked since 2016).

About Aveanna Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVEANNA HEALTHCARE (NPI 1811925308) is a healthcare organization registered as a nursing care in Vancouver, Washington and active in the NPI registry since June 2006. The organization lists Vicki Whiteside, Avp Regulatory Licensing, as its authorized official.

NPPES Registry Identity

NPI1811925308
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NamePEDIATRIC SERVICES OF AMERICA, LLC
Location Address9105 NE HIGHWAY 99 STE 202Vancouver, WA 98665-8974
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (770) 441-1580 · Fax (770) 248-8192
Phone(360) 693-7595
Fax(360) 693-7341
Organization SubpartNo
Authorized OfficialVicki WhitesideAvp Regulatory Licensing · (770) 248-8740
Enumeration DateJune 30, 2006
Last NPPES UpdateApril 7, 20212 updates tracked since enumeration
NPPES CertifiedApril 7, 2021
✔ NPI 1811925308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
License✔ Licensed in OR · 152070
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.

9105 NE HIGHWAY 99 STE 202, Vancouver, WA 98665
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Other Names 1

Doing Business AsAveanna Healthcare

Other Identifiers 1

Medicaid500601760OR

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 1811925308. 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 9105 NE Highway 99 Ste 202, Vancouver, WA 98665. The listed phone number is (360) 693-7595.

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

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

When was this NPI record last updated?

The NPPES record for Pediatric Services Of America, LLC was last updated on April 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.