OrganizationActive
Pediatric Services of America, LLC
NPI 1609284546 · Nursing Care Agency · Lakewood, WA
Provider details
- NPI number
- 1609284546
- Entity type
- Organization
- Primary specialty
- Nursing Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Matthew Buckhalter, Cfo(470) 464-8000
Specialties & taxonomies
Agencies
Practice location
7602 Bridgeport Way W Ste 2b
Lakewood, WA 98499-2415
Phone: (360) 651-0520
Fax: (360) 651-0539
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
- Aveanna Healthcare
Registry dates
- Enumerated
- 2014-07-23
- Last updated
- 2025-01-27
- Certified
- 2025-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.