PEDIATRIC SERVICES OF AMERICA, LLC
NPI 1952333122
Clinic/Center - Medically Fragile Infants and Children Day Care in Melbourne, FL

Active since July 07, 2006
760 NORTH DR STE E&F, MELBOURNE, FL 32934(321) 253-2000(321) 259-6276 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 13, 2021, Mar 15, 2021, Mar 20, 2019 and 1 more (4 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 1952333122), doing business as Aveanna Healthcare, is a healthcare organization registered as a medically fragile infants and children day care in Melbourne, Florida and active in the NPI registry since July 2006. The organization lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1952333122
Entity TypeOrganization
Primary Taxonomy261QM3000X
Legal Business NamePEDIATRIC SERVICES OF AMERICA, LLC
Location Address760 NORTH DR STE E&FMelbourne, FL 32934-9216
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000 · Fax (770) 248-8192
Fax(321) 259-6276
Organization SubpartNo
Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000
Enumeration DateJuly 7, 2006
Last NPPES UpdateJanuary 27, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
NPI 1952333122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Medically Fragile Infants and Children Day CareAmbulatory Health Care Facilities
Taxonomy Code261QM3000X
License Licensed in FL · PPC6007096
Definition

An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).

Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X
760 NORTH DR STE E&F, Melbourne, FL 32934

Other Names 1

Doing Business AsAveanna Healthcare

Other Identifiers 3

Medicaid300203900FL
Medicaid884161601FL
Medicaid685757496FL

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952333122, enumerated as an "organization" on July 07, 2006.

The provider is located at 760 NORTH DR STE E&F MELBOURNE, FL 32934 and the phone number is (321) 253-2000.

Clinic/Center with taxonomy code 261QM3000X and a focus in Medically Fragile Infants and Children Day Care.

The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to verify.