# PEDIATRIC SERVICES OF AMERICA, LLC

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

## Provider details

- **NPI number:** 1821410234
- **Authorized official:** MATTHEW BUCKHALTER (CFO)
- **Authorized official phone:** (470) 464-8000

## Contact information

- **Practice address:** 130 COURT ST STE 203, WILLIAMSPORT, PA 17701-6604
- **Practice address phone:** (570) 601-4790
- **Practice address fax:** (570) 505-3624
- **Mailing address:** 400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA 30339-5047
- **Mailing address phone:** (470) 464-8000
- **Mailing address fax:** (770) 248-8192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 01/21/2014
- **Last updated:** 01/27/2025