Organization Active NPI

Epic Health Services (PA), LLC

Doing business as Aveanna Healthcare

  • Home Health Agency
  • East Norriton, PA
National Provider Identifier
1033570445
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EPIC HEALTH SERVICES (PA), LLC
Doing business as
Aveanna Healthcare
Practice address
2860 Dekalb Pike Ste 400
East Norriton, PA 19401-1823
Phone
(215) 643-1200
Fax
(215) 540-0756
NPI assigned
Mar 11, 2016
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2860 Dekalb Pike Ste 400
East Norriton, PA 19401-1823

Mailing address

400 Interstate North Pkwy SE Ste 1600
Atlanta, GA 30339-5047
Phone (470) 464-8000

Other names 1

  • Aveanna Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160517000087 PA Part A Provider - Home Health Agency 8224097506 Practice locations: East Norriton, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033570445. Details of each certification follow.

Home health agency certification: CCN 397197A

Legal name
EPIC HEALTH SERVICES PA LLC
Doing business as
AVEANNA HEALTHCARE
Organization structure
LLCProprietary
Incorporated
Aug 18, 2004 in PA
Enrollment address
2860 Dekalb Pike
Ste 400
East Norriton, PA 19401-1823

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Aveanna HealthcareCCN 397197
Ownership
Proprietary
Certified
Jun 15, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0887534Epic Health Services (PA), LLC2860 Dekalb Pike, Suite 400, East Norriton, PA 19401Certificate of waiverJun 13, 2028

National Provider Directory

National Provider Directory
Tax ID family
Aveanna Healthcare3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1 Belmont Ave
Ste 200
Bala Cynwyd, PA 19004
Phone (215) 884-3737

4 Sentry Pkwy
Ste 105
Blue Bell, PA 19422
Phone (215) 643-1200

102 Pickering Way
Ste 402
Exton, PA 19341
Phone (610) 518-2128

4 Neshaminy Interplex Dr
Ste 208
Trevose, PA 19053
Phone (215) 285-1202

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
J.H. Whitney VII LP Organization, New Canaan, CT For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 16, 2017 16.09%
Psa Healthcare Investment Holding LLC Organization, New Canaan, CT LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 29, 2021 8.04%
Aveanna Healthcare LLC Organization, Atlanta, GA Created for acquisition, LLC, Holding company 5% Or Greater Indirect Ownership Interest Mar 16, 2017 100%
Other Jan 1, 2022
Aveanna Healthcare Intermediate Holdings LLC Organization, Atlanta, GA Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 16, 2017 100%
Aveanna Healthcare Holdings Inc Organization, Atlanta, GA Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 16, 2017 100%
DM Holdco Inc Organization, Atlanta, GA Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 16, 2017 100%
Nut Tree Master Fund LP Organization, New York, NY For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 31, 2023 6.34%
Matthew Buckhalter Individual Corporate OfficerCfo Jul 7, 2023
Corporate DirectorCfo Jul 7, 2023
Bcip Associates IV US L.P. Organization, Boston, MA For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 16, 2017 5.35%
Hamilton Lane Co-Investment Fund III Holdings - 2 LP Organization, Bala Cynwyd, PA For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 16, 2017 7.5%
Deborah Stewart Individual Corporate DirectorDirector Jul 7, 2023
Bain Capital Fund XI LP Organization, Boston, MA For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 16, 2017 35.54%
Jerrold Perchik Individual Corporate OfficerSecretary Apr 29, 2024
Maryann Logan Individual W-2 Managing EmployeeAdministrator May 1, 2020
Epic Health Services, Inc. Organization, Atlanta, GA Corporation, Medical provider/supplier, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 31, 2016 100%
Epic Acquisition, Inc. Organization, Atlanta, GA Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 31, 2016 100%
Bcpe Eagle Investor, L.P. Organization, Boston, MA Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 29, 2021 41.83%
Jeffrey Shaner Individual Corporate OfficerCeo Mar 16, 2017
Corporate DirectorCeo Jan 1, 2023
Pea Washington Holdings, LP Organization, George Town For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 29, 2021 5.45%

Facilities with the same owner 122

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 122

Change-of-ownership history 1

DateEventCounterparty
Mar 31, 2016 Change of OwnershipThis provider was the buyer Rescare Home CareCCN 397197A, PA, NPI 1649508375

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1033570445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 INTERSTATE NORTH PKWY SE STE 1600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395047",
            "telephone_number": "470-464-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 DEKALB PIKE STE 400",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194011823",
            "telephone_number": "215-643-1200",
            "fax_number": "215-540-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC HEALTH SERVICES (PA), LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-11",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "BUCKHALTER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "470-464-8000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aveanna Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Norriton, PA

Sources for this page

Verify at the official NPI Registry.