NPI 1114955309

Pediatric Services of America, LLC

Organisation Nursing Care Agency Raleigh, NC

Practice location

Address: 110 Horizon Dr STE 100, Raleigh, NC 27615-4927
Phone: (919) 341-3933
Fax: (919) 341-7234
Mailing address: 400 Interstate North Pkwy SE STE 1600, Atlanta, GA 30339-5047

Authorised official

Name: Matthew Buckhalter
Title: Cfo
Phone: (470) 464-8000

Registered specialties (4)

Nursing Care Agency Primary

Agencies Taxonomy 251J00000X Licence HC0828 (NC)

Other Nursing Care providers in North Carolina →

Home Health Agency

Agencies Taxonomy 251E00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

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Registry record

NPI: 1114955309
Entity type: Organization
NPI issued: 28 Jun 2006
Record last updated: 22 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.