PEDIATRIC SERVICES OF AMERICA, INC. (NPI# 1619908985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619908985 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC SERVICES OF AMERICA, INC. |
| Other Organization Name | AVEANNA HEALTHCARE |
| Practice Address |
20 Minuteman Way Suite 2 Brockton MA 02301-7507 |
| Mailing Address |
400 Interstate North Pkwy Se Ste 1600 Atlanta GA 30339-5047 |
| Practice Telephone | 5085869700 |
| Practice Fax Number | 5085830070 |
| Mailing Telephone | 7704411580 |
| Mailing Fax Number | 7702488192 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2019-01-25 |
| Authorized Official Name | MRS. VICKI WHITESIDE (DIRECTOR - REGULATORY LICENSING) |
| Authorized Official Telephone | 7702488740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | DIVISION OF OCCUPATIONAL SAFETY | 7482 | 01 |
| MA | 0606936 | 05 | |
| MA | 1538454 | 05 |
| Other Name | Type Code |
|---|---|
| Aveanna Healthcare | Doing Business As Name - Organization |
| PSA Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275069874 | Pediatric Services of America, Inc. | Nursing Care | 803 Jenks Ave Ste 6, Panama City, FL 32401-2568 | 2017-05-03 |
| 1568838399 | Pediatric Services of America, Inc. | Nursing Care | 81 Peeples Valley Rd Se Ste 103, Cartersville, GA 30121-6089 | 2015-08-17 |
| 1730568148 | Pediatric Services of America, Inc. | Nursing Care | 238 Littleton Rd Ste 205, Westford, MA 01886-3531 | 2015-05-19 |
| 1487914495 | Pediatric Services of America, Inc. | Nursing Care | 749 Northern Blvd Ste B, South Abington Township, PA 18411-9087 | 2012-05-23 |
| 1871761411 | Pediatric Services of America, Inc. | Nursing Care | 7602 Bridgeport Way W, Suite 2b, Lakewood, WA 98499-2415 | 2008-02-18 |
| 1982733408 | Pediatric Services of America, Inc. | Home Health | 146 New Britain Ave, Plainville, CT 06062 | 2007-03-02 |
| 1962540369 | Pediatric Services of America, Inc. | Home Health | 5313 N Mccoll Rd, Mcallen, TX 78504-2204 | 2007-02-01 |
| 1073650735 | Pediatric Services of America, Inc. | Nursing Care | 920 Davis Rd, Suite 208, Elgin, IL 60123-1390 | 2007-01-31 |
| 1912055732 | Pediatric Services of America, Inc. | Nursing Care | 415 Boston Tpke Ste 101, Shrewsbury, MA 01545-3414 | 2007-01-08 |
| 1164446530 | Pediatric Services of America, Inc. | Clinic/Center | 4051 Phillips Hwy, Suite 2, Jacksonville, FL 32207-9305 | 2006-07-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | PEDIATRIC SERVICES OF AMERICA, INC. | Six Concourse Parkway, Suite 1100, Atlanta, GA 30328 |
| Colorado Business Entities | PEDIATRIC SERVICES OF AMERICA, INC. | 400 Interstate North Pkwy Se, Ste. 1600, Atlanta, GA 30339-5047 |
| Vermont Business Registrations | PEDIATRIC SERVICES OF AMERICA, INC. | Six Concourse Parkway, S, Atlanta, GA 30328 |
| Oregon Corporations, Companies and Business Names | PEDIATRIC SERVICES OF AMERICA, INC. | 400 Interstate N Pkwy Se Ste 1600, Atlanta, GA 30339 |
| Massachusetts Corporations | PEDIATRIC SERVICES OF AMERICA, INC. | Six Concourse Parkway, Suite 1100, Atlanta, GA 30328 |
| Indiana Business Entities | PEDIATRIC SERVICES OF AMERICA, INC. | 310 Technology Pkwy, Norcross, GA 30092 |
| Street Address |
20 MINUTEMAN WAY SUITE 2 |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-7507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033635339 | Germy Cesar | Nursing Care | 35 Dodge Rd, Brockton, MA 02302-2241 | 2017-08-17 |
| 1609257948 | Cheacare | Nursing Care | 23 Locust St, Brockton, MA 02301-1630 | 2015-06-12 |
| 1972781391 | Mecare Agency Inc | Nursing Care | 15 Beacon Park, Brockton, MA 02302-2051 | 2008-02-07 |
| 1922609932 | Informatix Health Inc | Nursing Care | 55 Knapp Ctr, Brockton, MA 02301-5535 | 2020-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376163063 | Carefree Pharmacy Inc. | Nursing Care | 22 Fossen Way, Andover, MA 01810-6300 | 2020-04-22 |
| 1972134104 | Destiny Services Inc | Nursing Care | 270 Lawrence St Apt 18, Lowell, MA 01852-3593 | 2020-01-27 |
| 1851938195 | Agile Healthcare Staffing Services LLC | Nursing Care | 702 Irving Rd, Randolph, MA 02368-1882 | 2019-12-05 |
| 1588219935 | Dillard Home Health Care, LLC | Nursing Care | 756 Washington St Ste D, Stoughton, MA 02072-2976 | 2019-08-02 |
| 1235695826 | Daniel Paul Jurczyk | Nursing Care | 531 Wheelwright Rd, Barre, MA 01005-8882 | 2019-02-19 |
| 1639643356 | Bethel Staffing LLC | Nursing Care | 11 Gibbs St Unit 59d, Worcester, MA 01607-2401 | 2019-01-15 |
| 1194203885 | Chantale Joseph Auguste | Nursing Care | 55 Cheever St, Milton, MA 02186-1126 | 2018-08-03 |
| 1073016705 | North Shore United Home Care LLC | Nursing Care | 205 Highland Ave Unit 1107, Salem, MA 01970-2743 | 2018-03-08 |
| 1316449697 | C and N Nursing Services and Homecare | Nursing Care | 225 Stedman St Ste 32, Lowell, MA 01851-2792 | 2018-03-02 |
| 1528573326 | Helping Hands Care Services 4u2bu L.l.c | Nursing Care | 473 Middleboro Ave, East Taunton, MA 02718-5142 | 2017-12-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.