# PEDIATRIC SERVICES OF AMERICA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aveanna Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205504115
- **Authorized official:** HARMON A STRANGE (PRESIDENT/CEO)
- **Authorized official phone:** (470) 464-8000

## Contact information

- **Practice address:** 18440 THOMPSON CT STE 108, TINLEY PARK, IL 60477-5427
- **Practice address phone:** (708) 429-5551
- **Practice address fax:** (708) 444-1278
- **Mailing address:** 400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA 30339-5047
- **Mailing address phone:** (470) 464-8000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/03/2021
- **Last updated:** 09/03/2021