Pediatric Services of America, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PEDIATRIC SERVICES OF AMERICA, LLC

Practice address

5 Hearthstone CT
Ste 203
Reading, PA 19606-3055

Phone

(610) 779-6435

Fax

(610) 779-6568

NPI assigned

Jan 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matthew Buckhalter

Title

Cfo

Phone

(470) 464-8000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Aveanna Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Home health agency certification: CCN 397583

Legal name

PEDIATRIC SERVICES OF AMERICA, LLC

Doing business as

AVEANNA HEALTHCARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 21, 1994

Last certification

Dec 8, 2017

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Dec 28, 2020 in GA

Enrollment address

1400 N Providence Rd
Ste 300
Media, PA 19063-2050

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pediatric Services of America, LLC

  • Home Health Agency
  • Media, PA
  • NPI 1023045218

  O20050215000951

  Same enrollment

Listed as

Aveanna HealthcareCCN 397583

Ownership

Proprietary

Certified

Mar 21, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Sleep Disorder Serv of76 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 6

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Pediatric Services of America, Inc

  • Home Health Agency
  • Wellsboro, PA
  • NPI 1235322983
  NPD tax ID
• Pediatric Services of America, LLC

  • Home Health Agency
  • Media, PA
  • NPI 1023045218
  NPD tax ID
• Pediatric Services of America, LLC

  • Home Health Agency
  • Harrisburg, PA
  • NPI 1235168725
  NPD tax ID
• Pediatric Services of America, LLC

  • Home Health Agency
  • Olyphant, PA
  • NPI 1487914495
  NPD tax ID
• Pediatric Services of America, LLC

  • Home Health Agency
  • Williamsport, PA
  • NPI 1821410234
  NPD tax ID
• Pediatric Services of America, LLC

  • Home Health Agency
  • Pittsburgh, PA
  • NPI 1982628350
  NPD tax ID

Locations

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1487700944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 INTERSTATE NORTH PKWY SE STE 1600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395047",
            "telephone_number": "470-464-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HEARTHSTONE CT",
            "address_2": "STE 203",
            "city": "READING",
            "state": "PA",
            "postal_code": "196063055",
            "telephone_number": "610-779-6435",
            "fax_number": "610-779-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SERVICES OF AMERICA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "BUCKHALTER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "470-464-8000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100007962 0055",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aveanna Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Reading, PA
• Providers in Reading, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.