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Pediatric Services Of America, Llc
Home Health Agency in Shelton, Connecticut
NPI 1104848134

Pediatric Services Of America, Llc is a Home Health Agency based in Atlanta, CT. Pediatric Services Of America, Llc practices in Shelton, CT. The NPI Number for Pediatric Services Of America, Llc is 1104848134 and holds a License No. C9612701 (Connecticut).

The current practice location address for Pediatric Services Of America, Llc is 1000 Bridgeport Ave Ste 309, Shelton, CT and can be reached out via phone at 203-381-1530 and via fax at 203-381-1535.

Location: 1000 Bridgeport Ave Ste 309, Shelton, CT, 30339-5047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104848134
Provider Name
Pediatric Services Of America, Llc
Credential
Provider Entity Type
Organization
Address
1000 Bridgeport Ave Ste 309, Shelton, CT, 30339-5047
Phone Number
203-381-1530
Fax Number
203-381-1535
Provider Enumeration Date
07/25/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4187953 05 CT
004217304 05 CT
institution
Provider Business Practice Location Address Details
Address
1000 Bridgeport Ave Ste 309
City
Shelton
State
Connecticut
Zip
06484-4660
Phone Number
203-381-1530
Fax Number
203-381-1535
person
Provider Business Mailing Address Details
Address
1000 Bridgeport Ave Ste 309
City
Shelton
State
Connecticut
Zip
06484-4660
Phone Number
203-381-1530
Fax Number
203-381-1535
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
C9612701 (Connecticut)
Definition
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.
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