NPI 1740218239

Pediatric Services of America, LLC

Organisation Nursing Care Agency Fairfax, VA

Practice location

Address: 3554 Chain Bridge Rd STE 103, Fairfax, VA 22030-2709
Phone: (703) 873-7672
Fax: (703) 455-3291
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 (3)

Nursing Care Agency Primary

Agencies Taxonomy 251J00000X Licence 03-147 (VA)

Other Nursing Care providers in Virginia →

Home Health Agency

Agencies Taxonomy 251E00000X

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Respite Care

Respite Care Facility Taxonomy 385H00000X

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Registry record

NPI: 1740218239
Entity type: Organization
NPI issued: 30 Jun 2006
Record last updated: 27 Jan 2025

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.