Active NPIOrganization

Pediatric Services Of America, LLC

Home Health in Norwich, Connecticut

NPI Number1720499932
Practice location
55 Main St Unit 350, Norwich, CT 06360-5760
Fax
860-383-1914
Last updated
February 28, 2024

Pediatric Services Of America, LLC is a healthcare organization based in Norwich, CT. Pediatric Services Of America, LLC practices in Norwich, CT. The NPI Number for Pediatric Services Of America, LLC is 1720499932 and holds a License No. 9612701-PSO Office (CT). The current practice location address for Pediatric Services Of America, LLC is 55 Main St Unit 350, Norwich, CT 06360-5760 and can be reached out via phone at 860-383-1909 and via fax at 860-383-1914.

Provider Profile Details

NPI Number
1720499932
Provider Name
Pediatric Services Of America, LLC
Provider Entity Type
Organization
Address
55 Main St Unit 350, Norwich, CT 06360-5760
Phone Number
860-383-1909
Fax Number
860-383-1914
Primary Taxonomy
Home Health · 251E00000X
Organization Subpart
No
Authorized Official
Shannon Drake · Chief Legal Officer · 470-464-8000
Other Names
Aveanna Healthcare (Doing Business As)
Provider Enumeration Date
May 12, 2014
Last Update Date
February 28, 2024
Certification Date
February 28, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Main St Unit 350
Norwich, CT 06360-5760
Zip
06360-5760
Phone Number
860-383-1909
Fax Number
860-383-1914
Norwich, CT 06360Get directions →

Provider Business Mailing Address Details

Address
400 Interstate North Pkwy SE Ste 1600
Atlanta, GA 30339-5047
City
Atlanta
State
GA
Zip
30339-5047
Phone Number
470-464-8000

License Information

Taxonomy (1)
Nursing Care · 251J00000X
License Number (2)
9612701-PSO Office
License State (2)
CT
Taxonomy (2)
Home Health · 251E00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Pediatric Services Of America, LLC?

The NPI number of Pediatric Services Of America, LLC is 1720499932. It was assigned on May 12, 2014 and is currently active in the NPPES registry.

What is the specialty of Pediatric Services Of America, LLC?

Pediatric Services Of America, LLC is registered under the primary taxonomy Home Health (code 251E00000X), licensed in CT under license number 9612701-PSO Office.

Where does Pediatric Services Of America, LLC practice?

The practice location is 55 Main St Unit 350, Norwich, CT 06360-5760. The office can be reached at 860-383-1909 (phone) or 860-383-1914 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720499932 directly on the NPPES registry website.

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