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Pediatric Services Of America, Llc
Nursing Care Agency in Martinez, Georgia
NPI 1538191820

Pediatric Services Of America, Llc is a Nursing Care Agency based in Atlanta, GA. Pediatric Services Of America, Llc practices in Martinez, GA. The NPI Number for Pediatric Services Of America, Llc is 1538191820 and holds a License No. 121-R-0003 (Georgia).

The current practice location address for Pediatric Services Of America, Llc is 4408 Columbia Rd, Martinez, GA and can be reached out via phone at 706-868-6543 and via fax at 706-868-9754.

Location: 4408 Columbia Rd, Martinez, GA, 30339-5047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538191820
Provider Name
Pediatric Services Of America, Llc
Credential
Provider Entity Type
Organization
Address
4408 Columbia Rd, Martinez, GA, 30339-5047
Phone Number
706-868-6543
Fax Number
706-868-9754
Provider Enumeration Date
07/07/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00974278A 05 GA
538807248B 05 GA
EXG033 05 SC
538807248D 05 GA
538807248E 05 GA
EX0445 05 SC
institution
Provider Business Practice Location Address Details
Address
4408 Columbia Rd
City
Martinez
State
Georgia
Zip
30907-4554
Phone Number
706-868-6543
Fax Number
706-868-9754
person
Provider Business Mailing Address Details
Address
4408 Columbia Rd
City
Martinez
State
Georgia
Zip
30907-4554
Phone Number
706-868-6543
Fax Number
706-868-9754
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
121-265H (Georgia)
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.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Nursing Care
Speciality
-
Taxonomy
251J00000X
License No.
121-R-0003 (Georgia)
Definition
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.
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