PEDIATRIC SERVICES OF AMERICA, INC (NPI# 1720499932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720499932 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC SERVICES OF AMERICA, INC |
| Other Organization Name | AVEANNA HEALTHCARE |
| Practice Address |
55 Main St Unit 350 Norwich CT 06360-5760 |
| Mailing Address |
400 Interstate North Pkwy Se Ste 1600 Atlanta GA 30339-5047 |
| Practice Telephone | 8603831909 |
| Practice Fax Number | 8603831914 |
| Mailing Telephone | 7702488740 |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2019-08-12 |
| Authorized Official Name | VICKI WHITESIDE (DIRECTOR REGULATORY LICENSING) |
| Authorized Official Telephone | 7702488740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | Agencies | ||
| Y | 251E00000X | Home Health | 9612701-PSO OFFI | CT | Agencies |
| Other Name | Type Code |
|---|---|
| Aveanna Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609284546 | Pediatric Services of America, Inc | Nursing Care | 7602 Bridgeport Way W Ste 2b, Lakewood, WA 98499-2415 | 2014-07-23 |
| 1598185498 | Pediatric Services of America, Inc | Home Health | 1316 Nw John Jones Dr, Burleson, TX 76028-8040 | 2014-04-18 |
| 1639467327 | Pediatric Services of America, Inc | Nursing Care | 225 Country Club Dr Ste 240, Stockbridge, GA 30281-7339 | 2011-07-14 |
| 1831493790 | Pediatric Services of America, Inc | Nursing Care | 6316 Saint Andrews Rd, Ste A, Columbia, SC 29212-3168 | 2011-01-06 |
| 1285897025 | Pediatric Services of America, Inc | Nursing Care | 400 Interstate North Pkwy Se Ste 1600, Atlanta, GA 30339-5047 | 2008-07-02 |
| 1629000914 | Pediatric Services of America, Inc | Home Health | 126 Integra Breeze Ln Ste 3b, Daytona Beach, FL 32117-5554 | 2006-07-07 |
| 1891740601 | Pediatric Services of America, Inc | Nursing Care | 18440 Thompson Ct, Suite 108, Tinley Park, IL 60477-5426 | 2006-05-23 |
| 1104215235 | Pediatric Services of America, Inc | Nursing Care | 1115 Elkton Dr, Ste 102, Colorado Springs, CO 80907-8507 | 2015-01-13 |
| 1821410234 | Pediatric Services of America, Inc | Nursing Care | 1544 E 3rd St, Williamsport, PA 17701-5404 | 2014-01-21 |
| 1346556917 | Pediatric Services of America, Inc | Home Health | 3105 Citrus Tower Blvd, Suite A, Clermont, FL 34711-6892 | 2010-08-20 |
| 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 |
| Oklahoma Business Registrations | PEDIATRIC SERVICES OF AMERICA, INC. | 5834-c Peachtree Corners East, Norcross, GA 30092 |
| Washington State Corporations | PEDIATRIC SERVICES OF AMERICA, INC. | 400 Interstate North Pkwy Se, Ste 1600, Atlanta, GA 30339-5047 |
| Street Address |
55 MAIN ST UNIT 350 |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-5760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689962433 | Community Health Care, LLC | Home Health | 12 Case St Ste 206, Norwich, CT 06360-2222 | 2011-07-14 |
| 1235276742 | United Community & Family Services | Home Health | 34 E Town St, Norwich, CT 06360-2317 | 2007-01-31 |
| 1811908213 | Omni Home Health Services of Eastern Connecticut, LLC | Home Health | 12 Case Street, Suite 317, Norwich, CT 06360-2222 | 2006-08-10 |
| 1114915378 | Chenango County | Home Health | 5 Court St, County Office Building, Norwich, NY 13815-1695 | 2005-10-12 |
| 1669478715 | Center for Hospice Care Southeast Connecticut, Inc. | Home Health | 227 Dunham St, Norwich, CT 06360-6133 | 2005-06-23 |
| 1609173160 | Advanced Community Support, LLC | Home Health | 12 Case St, Suite 206, Norwich, CT 06360-2222 | 2011-02-18 |
| 1659584290 | Recovery Resources, LLC | Home Health | 12 Case St, Suite 205, Norwich, CT 06360-2222 | 2007-05-08 |
| 1326071978 | Interim Healthcare of Eastern Ct, Inc | Home Health | 12 Case St, Suite 215, Norwich, CT 06360-2222 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265474 | Kerb Home Care Services LLC | Home Health | 1266 E Main St Ste 706, Stamford, CT 06902-3546 | 2020-11-05 |
| 1386242808 | A Caring Heart Nursing Services LLC | Home Health | 68 Bridge St Unit 213, Suffield, CT 06078-3107 | 2020-10-16 |
| 1255942777 | Hi Rx LLC | Home Health | 110 Logan Rd, New Canaan, CT 06840-2103 | 2020-08-10 |
| 1336757707 | Cc Caring Hands,llc | Home Health | 500 Post Rd E Ste 220, Westport, CT 06880-4431 | 2020-07-21 |
| 1639796220 | Unity Homecare | Home Health | 59 Linda Ct, Naugatuck, CT 06770-2203 | 2020-06-29 |
| 1316563067 | Zembi Home Services LLC | Home Health | 780 Winchester Ave, New Haven, CT 06511-1131 | 2020-06-18 |
| 1265056212 | Home Care Connectors LLC | Home Health | 164 Mason St, Greenwich, CT 06830-6668 | 2020-06-05 |
| 1811510167 | Sisters Loving Care LLC | Home Health | 410 Main St Ste 2, Danbury, CT 06810-4739 | 2020-05-21 |
| 1386264976 | Fabican LLC | Home Health | 48 Anthony Ln, New Canaan, CT 06840-6401 | 2020-04-23 |
| 1467081893 | Charmed Home Care LLC | Home Health | 263 Columbia Blvd, Waterbury, CT 06710-1405 | 2020-04-07 |
| 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.