OrganizationActive
Pediatric Services of America, LLC
NPI 1811925308 · Nursing Care Agency · Vancouver, WA
Provider details
- NPI number
- 1811925308
- Entity type
- Organization
- Primary specialty
- Nursing Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Vicki Whiteside, Avp Regulatory Licensing(770) 248-8740
- License
- 152070 (OR)
Specialties & taxonomies
Agencies
Practice location
9105 Ne Highway 99 Ste 202
Vancouver, WA 98665-8974
Phone: (360) 693-7595
Fax: (360) 693-7341
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
Registry dates
- Enumerated
- 2006-06-30
- Last updated
- 2021-04-07
- Certified
- 2021-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.