OrganizationActive
Pediatric Services of America, LLC
NPI 1629000914 · Nursing Care Agency · Daytona Beach, FL
Pediatric Services of America, LLC is a Nursing Care Agency organization in Daytona Beach, FL (NPI 1629000914).
Provider details
- NPI number
- 1629000914
- Entity type
- Organization
- Primary specialty
- Nursing Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Matthew Buckhalter, Cfo(470) 464-8000
Specialties & taxonomies
Agencies
- Home Health Agency251E00000X
Agencies
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
126 Integra Breeze Ln Ste 3b
Daytona Beach, FL 32117-5554
Phone: (386) 304-0702
Street-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
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2025-01-27
- Certified
- 2025-01-27
Frequently asked questions
- What is Pediatric Services of America, LLC's NPI number?
- Pediatric Services of America, LLC's National Provider Identifier (NPI) is 1629000914, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Services of America, LLC?
- Pediatric Services of America, LLC is classified in the NPPES registry as Nursing Care Agency (Agencies).
- Where is Pediatric Services of America, LLC located?
- Pediatric Services of America, LLC's practice location on file with NPPES is 126 Integra Breeze Ln Ste 3b, Daytona Beach, FL 32117-5554.
- What is Pediatric Services of America, LLC's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Services of America, LLC is (386) 304-0702.
- Who is the authorized official for Pediatric Services of America, LLC?
- The authorized official listed on Pediatric Services of America, LLC's NPPES record is Matthew Buckhalter, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Services of America, LLC's NPI active?
- Yes — Pediatric Services of America, LLC's NPI (1629000914) is active in the NPPES registry as of the last update on 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.