PEDIATRIC SERVICES OF AMERICA, LLC
NPI 1891983979
Clinic/Center - Rehabilitation in West Palm Beach, FL

Active since October 15, 2007
2005 VISTA PKWY, STE 110-B, WEST PALM BEACH, FL 33411(561) 683-5758(561) 683-3416 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 13, 2021, Dec 31, 2015 (2 updates tracked since 2015).

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 1891983979), doing business as Aveanna Healthcare, is a healthcare organization registered as a rehabilitation in West Palm Beach, Florida and active in the NPI registry since October 2007. The organization lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1891983979
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NamePEDIATRIC SERVICES OF AMERICA, LLC
Location Address2005 VISTA PKWY, STE 110-BWest Palm Beach, FL 33411-6700
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000 · Fax (770) 248-8192
Fax(561) 683-3416
Organization SubpartNo
Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000
Enumeration DateOctober 15, 2007
Last NPPES UpdateJanuary 27, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
NPI 1891983979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
2005 VISTA PKWY, West Palm Beach, FL 33411

Other Names 1

Doing Business AsAveanna Healthcare

Other Identifiers 1

Medicaid892454600FL

Other Providers at the Same Location NPPES 2

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

Speech-Language Pathologist
2005 VISTA PKWY, SUITE 110A
WEST PALM BEACH, FL 33411
Clinic/Center (Medically Fragile Infants and Children Day Care)
2005 VISTA PKWY, SUITE 110 A
WEST PALM BEACH, FL 33411

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 1891983979. It was assigned to this organization in the NPPES registry on October 15, 2007. The provider is doing business as Aveanna Healthcare.

Where is Pediatric Services Of America, LLC located?

Pediatric Services Of America, LLC is located at 2005 Vista Pkwy Ste 110-B, West Palm Beach, FL 33411. The listed phone number is (561) 683-5758.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

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.