OrganizationActive
Pediatric Services of America, LLC
NPI 1114956646 · Nursing Care Agency · Vancouver, WA
Provider details
- NPI number
- 1114956646
- Entity type
- Organization
- Primary specialty
- Nursing Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Vicki Whiteside, Avp, Regulatory Licensing(770) 248-8740
Specialties & taxonomies
Agencies
Practice location
2700 Ne Andresen Rd
Suite D-3
Vancouver, WA 98661-7347
Phone: (360) 693-7595
Fax: (360) 693-7262
Approximate (ZIP-level) locationGet directions
Mailing address
400 Interstate North Pkwy Se Ste 1600
Atlanta, GA 30339-5047
Other names (DBA / former)
- Doing business as
- Aveanna Healthcare
- Doing business as
- Psa Healthcare
Registry dates
- Enumerated
- 2006-06-30
- Last updated
- 2021-03-31
- Certified
- 2021-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.