# PEDIATRIC SERVICES OF AMERICA, LLC

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

## Provider details

- **NPI number:** 1659056992
- **Authorized official:** MATTHEW BUCKHALTER (CFO)
- **Authorized official phone:** (470) 464-8000

## Contact information

- **Practice address:** 12100 E ILIFF AVE STE A-250, AURORA, CO 80014-6316
- **Practice address phone:** (303) 363-4107
- **Practice address fax:** (303) 343-2182
- **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 |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/15/2023
- **Last updated:** 01/27/2025