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PEDIATRIC SERVICES OF AMERICA, LLC

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Company Details

Legal Name: PEDIATRIC SERVICES OF AMERICA, LLC
Jurisdiction: WASHINGTON
Entity Type: FOREIGN LIMITED LIABILITY COMPANY
Category: FOREIGN ENTITY
Status: Active
Formation/ Registration Date: July 17th 1995
Expiration date: 31 Jul 2025
UBI Number: 601 648 771
Home State: GEORGIA
Principal Office Street Address: Google Maps Logo 400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA, 30339-5047, UNITED STATES

Contact Details

E-Mail: LEGAL.NOTICE@AVEANNA.COM
Phone Number: +1 470-489-0233

Nature of Business

Health Care, Social Assistance & Service Organization, HOME HEALTH CARE SERVICES

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Registered Agent Information

Name Role
CORPORATION SERVICE COMPANY Registered Agent

Key Officers & Management

Name Role
JEFFREY SHANER Governing Person
DEBORAH STEWART Governing Person
MATTHEW BUCKHALTER Governing Person
JERRY PERCHIK Governing Person

National Provider Identifier

NPI Number:
1609284546
Certification Date:
2025-01-27

Authorized Person:

Name:
MATTHEW BUCKHALTER
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
251J00000X - Nursing Care Agency
Is Primary:
Yes

Contacts:

Fax:
7702488192
Fax:
3606510539

History

Type Old value New value Date of change
Name change PEDIATRIC SERVICES OF AMERICA, INC. PEDIATRIC SERVICES OF AMERICA, LLC 2021-01-22
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