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Pediatric Services Of America, Llc
Respite Care in Fairfax, Virginia
NPI 1740218239

Pediatric Services Of America, Llc is a Respite Care based in Atlanta, VA. Pediatric Services Of America, Llc practices in Fairfax, VA. The NPI Number for Pediatric Services Of America, Llc is 1740218239 and holds a License No. (Virginia).

The current practice location address for Pediatric Services Of America, Llc is 3554 Chain Bridge Rd Ste 103, Fairfax, VA and can be reached out via phone at 703-873-7672 and via fax at 703-455-3291. You can also correspond with Pediatric Services Of America, Llc through the mailing address at 400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA - 30339-5047 (mailing address contact number: 470-464-8000).

Location: 3554 Chain Bridge Rd Ste 103, Fairfax, VA, 30339-5047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740218239
Provider Name
Pediatric Services Of America, Llc
Credential
Provider Entity Type
Organization
Address
3554 Chain Bridge Rd Ste 103, Fairfax, VA, 30339-5047
Phone Number
703-873-7672
Fax Number
703-455-3291
Provider Enumeration Date
06/30/2006
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
8751048 05 VA
4971337 05 VA
institution
Provider Business Practice Location Address Details
Address
3554 Chain Bridge Rd Ste 103
City
Fairfax
State
Virginia
Zip
22030-2709
Phone Number
703-873-7672
Fax Number
703-455-3291
person
Provider Business Mailing Address Details
Address
400 Interstate North Pkwy Se Ste 1600
City
Atlanta
State
Georgia
Zip
30339-5047
Phone Number
470-464-8000
Fax Number
770-248-8192
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
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.
03-147 (Virginia)
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.
person
Provider's Taxonomy Details 3
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
()
Definition
Definition to come.
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