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AVEANNA HEALTHCARE
NPI 1871761411
Nursing Care in Lakewood, WA

Active since February 18, 2008
7602 BRIDGEPORT WAY W, SUITE 2B, LAKEWOOD, WA 98499(253) 912-4860(253) 912-4862 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 9, 2021, Jun 14, 2019, Jan 11, 2016 and 1 more (4 updates tracked since 2015).

About Aveanna Healthcare NPPES

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

AVEANNA HEALTHCARE (NPI 1871761411) is a healthcare organization registered as a nursing care in Lakewood, Washington and active in the NPI registry since February 2008. The organization lists Vicki Whiteside, Avp Regulatory Licensing, as its authorized official.

NPPES Registry Identity

NPI1871761411
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NamePEDIATRIC SERVICES OF AMERICA, LLC
Location Address7602 BRIDGEPORT WAY W, SUITE 2BLakewood, WA 98499-2415
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000 · Fax (770) 248-8192
Phone(253) 912-4860
Fax(253) 912-4862
Organization SubpartNo
Authorized OfficialVicki WhitesideAvp Regulatory Licensing · (470) 464-8000
Enumeration DateFebruary 18, 2008
Last NPPES UpdateApril 9, 20214 updates tracked since enumeration
NPPES CertifiedApril 9, 2021
✔ NPI 1871761411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
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.
7602 BRIDGEPORT WAY W, Lakewood, WA 98499
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Other Names 1

Doing Business AsAveanna Healthcare

Other Identifiers 1

OtherIHS.FS.00000423WA · Washington State Dept Of Health

Other Providers at the Same Location NPPES

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

MS. JULIE JEANNE ABRAHAM LMP
Specialist
7602 BRIDGEPORT WAY W, SUITE 4A
LAKEWOOD, WA 98499
Pierce County (253) 302-0618

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 1871761411. It was assigned to this organization in the NPPES registry on February 18, 2008. The provider is doing business as Aveanna Healthcare.

Where is Pediatric Services Of America, LLC located?

Pediatric Services Of America, LLC is located at 7602 Bridgeport Way W Suite 2B, Lakewood, WA 98499. The listed phone number is (253) 912-4860.

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 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.