Pediatric Services of America, Inc.

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

PEDIATRIC SERVICES OF AMERICA, INC.

Doing business as

PSA Healthcare

Practice address

238 Littleton Rd Ste 205
Westford, MA 01886-3531

Phone

(978) 513-6548

Fax

(978) 250-0818

NPI assigned

May 19, 2015

Last updated

Nov 9, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Harmon A Strange

Title

President/Ceo

Phone

(770) 441-1580

Specialties & licenses 1

Addresses

Other names 1

• PSA Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730568148. Details of each certification follow.

• CCN 227447 Home health agency · Active · Details

Home health agency certification: CCN 227447

Legal name

PEDIATRIC SERVICES OF AMERICA, LLC

Doing business as

AVEANNA HEALTHCARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 20, 1996

Last certification

Mar 6, 2012

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Dec 28, 2020 in GA

Enrollment address

1324 Belmont St
Ste 204-205
Brockton, MA 02301-4435

Other NPIs on the same Medicare enrollment 3

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

• Pediatric Services of America, LLC

  dba Aveanna Healthcare

  • Nursing Care Agency
  • Brockton, MA
  • NPI 1619908985

  O20070112000482

  Same enrollment
• Pediatric Services of America, LLC

  dba Aveanna Healthcare

  • Home Health Agency
  • Plymouth, MA
  • NPI 1770972853

  O20070112000482

  Same enrollment
• Pediatric Services of America, LLC

  dba Aveanna Healthcare

  • Nursing Care Agency
  • Worcester, MA
  • NPI 1912055732

  O20070112000482

  Same enrollment

Listed as

Aveanna HealthcareCCN 227447 · All quality measures

Ownership

Proprietary

Certified

Aug 20, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Occupational therapy

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": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1730568148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CONCOURSE PKWY",
            "address_2": "STE 1100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303286117",
            "telephone_number": "770-441-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 LITTLETON RD STE 205",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863531",
            "telephone_number": "978-513-6548",
            "fax_number": "978-250-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SERVICES OF AMERICA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "STRANGE",
        "authorized_official_first_name": "HARMON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "770-441-1580"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PSA Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darshna Patel
• Shivani A Patel
• Nima Patidar
• Alyssa Paton, NP
• Pediatric Dental Anesthesia Solutions, LLC
• Pediatrics West
• Pediatrics West, PC
• Pelham Healthcare Associates PLLC (Westford Primary Care PLLC)
• Nancy C Perry
• Personal Touch Home Aides Inc.

• Nursing Care Agency in Westford, MA
• Providers in Westford, MA by specialty
• Nursing Care Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.