Pediatric Services of America, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

0404UK Issued in CO

Legal business name

PEDIATRIC SERVICES OF AMERICA, LLC

Practice address

12100 E Iliff Ave Ste a-250
Aurora, CO 80014-6316

Phone

(303) 363-4107

Fax

(303) 343-2182

NPI assigned

Jun 23, 2006

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 3

Addresses

Other identifiers 1

Other names 1

• Aveanna Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Home health agency certification: CCN 067240

Legal name

PEDIATRIC SERVICES OF AMERICA, LLC

Doing business as

AVEANNA HEALTHCARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 6, 1994

Last certification

Aug 19, 2020

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Dec 28, 2020 in GA

Enrollment address

12100 E Iliff Avenue
Ste a-250
Aurora, CO 80014-6316

Other NPIs with the same Medicare PAC ID 19

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Pediatric Services of America, LLC

  • Home Health Agency
  • Media, PA
  • NPI 1023045218

  5991614760

  Same PAC ID
• Pediatric Services of America, LLC

  • Nursing Care Agency
  • Macon, GA
  • NPI 1093746430

  5991614760

  Same PAC ID
• Pediatric Services of America, LLC

  • Home Health Agency
  • Shelton, CT
  • NPI 1104848134

  5991614760

  Same PAC ID
• Pediatric Services of America, LLC

  • Nursing Care Agency
  • Raleigh, NC
  • NPI 1114955309

  5991614760

  Same PAC ID
• Pediatric Services of America, LLC

  • Home Health Agency
  • Harrisburg, PA
  • NPI 1235168725

  5991614760

  Same PAC ID
• Pediatric Services of America, LLC

  • Nursing Care Agency
  • Peachtree Corners, GA
  • NPI 1326070673

  5991614760

  Same PAC ID
• Pediatric Services of America, LLC

  • Home Health Agency
  • Olyphant, PA
  • NPI 1487914495

  5991614760

  Same PAC ID
• Pediatric Services of America, LLC

  • Nursing Care Agency
  • Martinez, GA
  • NPI 1538191820

  5991614760

  Same PAC ID
• Pediatric Services of America, LLC

  • Nursing Care Agency
  • Metairie, LA
  • NPI 1609803022

  5991614760

  Same PAC ID
• Pediatric Services of America, LLC

  • Nursing Care Agency
  • Brockton, MA
  • NPI 1619908985

  5991614760

  Same PAC ID
• Pediatric Services of America, LLC

  • Nursing Care Agency
  • Vancouver, WA
  • NPI 1699707968

  5991614760

  Same PAC ID
• Pediatric Services of America, LLC

  • Nursing Care Agency
  • Norfolk, VA
  • NPI 1730101171

  5991614760

  Same PAC ID

Listed as

Aveanna HealthcareCCN 067240

Ownership

Proprietary

Certified

Dec 6, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide

Tax ID family

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

Organizations with this tax ID in the same state 4

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
  • Colorado Springs, CO
  • NPI 1104215235
  NPD tax ID
• Pediatric Services of America, LLC

  • In Home Supportive Care Agency
  • Aurora, CO
  • NPI 1356922983
  NPD tax ID
• Pediatric Services of America, LLC

  • In Home Supportive Care Agency
  • Aurora, CO
  • NPI 1659056992
  NPD tax ID
• Pediatric Services of America, LLC

  • Home Health Agency
  • Loveland, CO
  • NPI 1730578865
  NPD tax ID

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.

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Dawson Thomas, Inc.

  • Home Health Agency
  • Englewood, CO
  • NPI 1790751915

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Evergreen Home Healthcare, LLC

  • Home Health Agency
  • Westminster, CO
  • NPI 1326346305

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Evergreen Home Healthcare, LLC.

  • Home Health Agency
  • Loveland, CO
  • NPI 1699962365

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Care Unlimited Inc

  • Home Health Agency
  • Du Bois, PA
  • NPI 1811279540

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Care Unlimited Inc.

  • Home Health Agency
  • Wexford, PA
  • NPI 1407809114

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Care Unlimited Inc.

  • Home Health Agency
  • Erie, PA
  • NPI 1912101726

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Dependable Nurses of Phoenix, LLC

  • Home Health Agency
  • Scottsdale, AZ
  • NPI 1245323294

  5% Or Greater Indirect Ownership Interest

  CMS ownership

Facilities with the same owner 122

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Dawson Thomas, Inc.

  • Home Health Agency
  • Englewood, CO
  • NPI 1790751915

  Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne

  CMS ownership
• Evergreen Home Healthcare, LLC

  • Home Health Agency
  • Westminster, CO
  • NPI 1326346305

  Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne

  CMS ownership
• Evergreen Home Healthcare, LLC.

  • Home Health Agency
  • Loveland, CO
  • NPI 1699962365

  Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne

  CMS ownership
• Loving Care Agency, Inc.

  • Home Health Agency
  • Colorado Springs, CO
  • NPI 1467869214

  Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne

  CMS ownership
• Premier Healthcare Services, LLC

  • Home Health Agency
  • Grand Junction, CO
  • NPI 1972922037

  Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne

  CMS ownership
• Recover Health of Iowa, Inc.

  • Home Health Agency
  • Pueblo, CO
  • NPI 1174822571

  Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne

  CMS ownership
• 5 Star Home Health Services, LLC

  • Home Health Agency
  • Orlando, FL
  • NPI 1376584730

  Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne

  CMS ownership
• 5 Star Home Health Services, LLC

  • Home Health Agency
  • Gainesville, FL
  • NPI 1518182773

  Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne

  CMS ownership
• Andventure, LLC

  • Home Health Agency
  • Chambersburg, PA
  • NPI 1013150275

  Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne

  CMS ownership
• Andventure, LLC

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1013156470

  Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne

  CMS ownership
• Andventure, LLC

  • Home Health Agency
  • Lancaster, PA
  • NPI 1093788002

  Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne

  CMS ownership
• Andventure, LLC

  • Home Health Agency
  • State College, PA
  • NPI 1760621122

  Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne

  CMS ownership

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1992731848",
    "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",
            "fax_number": "770-248-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 E ILIFF AVE STE A-250",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800146316",
            "telephone_number": "303-363-4107",
            "fax_number": "303-343-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SERVICES OF AMERICA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "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": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "CO",
            "license": "0404UK",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05701149",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aveanna Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melvin David Pederson Jr., DDS
• Pediatric & Maternal Behavioral Health Dba Uphold Behavioral Health
• Pediatric Sedation Dentistry of Colorado PLLC
• Pediatric Services of America, LLC
• Pediatric Services of America, LLC
• Pediatric Speech Therapy Associates
• Pediatrix Primary Care of Colorado, PLLC
• Pediatrix Urgent Care of Colorado, PLLC
• Pedo Four, Prof. LLC
• Joseph Peetz, D.O.

• Nursing Care Agency in Aurora, CO
• Providers in Aurora, CO by specialty
• Nursing Care Agency in Colorado

• 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.