NPIMap

Organization Active NPI

Peachtree Home Health, LLC

Doing business as BridgeWay Home Health

  • Home Health Agency
  • Conyers, GA
National Provider Identifier
1043619141
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
122 - 195 Issued in GA
Legal business name
PEACHTREE HOME HEALTH, LLC
Doing business as
BridgeWay Home Health
Practice address
2135 Eastview Pkwy Ste 800
Conyers, GA 30013-5772
Phone
(678) 806-5336
Fax
(678) 806-5350
NPI assigned
Aug 14, 2014
Last updated
Jan 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Authorized official

Name
Amanda McFaddin-Mills
Title
Senior VP of Compliance
Phone
(615) 365-4424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 122 - 195 GA Primary

Addresses

Primary practice location

2135 Eastview Pkwy Ste 800
Conyers, GA 30013-5772

Mailing address

1101 Kermit Dr Ste 204
Nashville, TN 37217-5102
Phone (615) 365-4424

Other names 1

  • BridgeWay Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141107000054 GA Part A Provider - Home Health Agency 5395967335 Practice locations: Conyers, GA; Morrow, GA; Smyrna, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043619141. Details of each certification follow.

Home health agency certification: CCN 117111

Legal name
PEACHTREE HOME HEALTH, LLC
Doing business as
BRIDGEWAY HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 15, 1997
Last certification
Sep 6, 2017
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Aug 17, 2010 in GA
Enrollment address
2135 Eastview Pkwy
Ste 800
Conyers, GA 30013-5772

Care Compare: Home health agency

Medicare Care Compare
Listed as
Bridgeway Home HealthCCN 117111 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Jan 15, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
11D2114445Peachtree Home Health, LLC2135 Eastview Parkway, Suite 800, Conyers, GA 30013Certificate of waiverJun 13, 2028

National Provider Directory

National Provider Directory

Locations

2135 Eastview Pkwy
Ste 800
Conyers, GA 30013
Phone (678) 806-5336

1590 Adamson Pkwy
Ste 120
Morrow, GA 30260
Phone (678) 806-5336

3300 Highlands Pkwy SE
Ste 100
Smyrna, GA 30082
Phone (678) 806-5336

3300 Highlands Pkwy SE
Ste 170
Smyrna, GA 30082
Phone (678) 806-5336

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Fulcrum Growth Fund IV QP, LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 6, 2021 51.86%
Christopher Jones Individual Corporate OfficerCeo Apr 9, 2026 100%
JM Home Health Holdings LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 6, 2021 8.24%
Homefirst Holdings Inc Organization, Nashville, TN Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 6, 2021 100%
JKH Healthcare Holdings LLC Organization, Riviera Beach, FL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 6, 2021 16.49%
Bridgeway Home Health Holdings LLC Organization, Marietta, GA For-profit 5% Or Greater Indirect Ownership Interest Aug 15, 2014 100%
Amanda McFaddin-Mills Individual Corporate DirectorSenior VP of Compliance Jan 23, 2025 100%
W-2 Managing EmployeeSenior VP of Compliance Jan 1, 2025 100%
Harpeth Ventures Opportunity Fund LP Organization, Nashville, TN For-profit 5% Or Greater Indirect Ownership Interest Dec 6, 2021 12.36%

Facilities with the same owner 6

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

  • Mountain HHA, LLC

    dba Mountain Home Health

    • Home Health Agency
    • Blairsville, GA
    • NPI 1851831705

    Bridgeway Home Health Holdings LLC, Fulcrum Growth Fund IV QP, LLC, Harpeth Ventures Opportunity Fund LP, Homefirst Holdings Inc, JKH Healthcare Holdings LLC, JM Home Health Holdings LLC

    CMS ownership
  • Good Shepherd Acquisition LLC

    dba Mountain Home Health

    • Home Health Agency
    • Hayesville, NC
    • NPI 1245701150

    Bridgeway Home Health Holdings LLC, Fulcrum Growth Fund IV QP, LLC, Harpeth Ventures Opportunity Fund LP, Homefirst Holdings Inc, JKH Healthcare Holdings LLC, JM Home Health Holdings LLC

    CMS ownership
  • Homefirst of Highland Rim, LLC

    dba HomeFirst Home Healthcare

    • Home Health Agency
    • McMinnville, TN
    • NPI 1295333037

    Fulcrum Growth Fund IV QP, LLC, Harpeth Ventures Opportunity Fund LP, Homefirst Holdings Inc, JKH Healthcare Holdings LLC, JM Home Health Holdings LLC

    CMS ownership
  • Homefirst of Middle Tennessee, LLC

    dba HomeFirst Home Healthcare

    • Home Health Agency
    • Nashville, TN
    • NPI 1952909780

    Fulcrum Growth Fund IV QP, LLC, Harpeth Ventures Opportunity Fund LP, Homefirst Holdings Inc, JKH Healthcare Holdings LLC, JM Home Health Holdings LLC

    CMS ownership
  • Mountain Home Health Services, LLC

    dba Mountain Home Health Services

    • Home Health Agency
    • Hayesville, NC
    • NPI 1164811550

    Bridgeway Home Health Holdings LLC, Fulcrum Growth Fund IV QP, LLC, Harpeth Ventures Opportunity Fund LP, Homefirst Holdings Inc, JKH Healthcare Holdings LLC, JM Home Health Holdings LLC

    CMS ownership
  • Techota, LLC

    dba HomeFirst Home Healthcare

    • Home Health Agency
    • Centreville, AL
    • NPI 1457578114

    Fulcrum Growth Fund IV QP, LLC, Harpeth Ventures Opportunity Fund LP, Homefirst Holdings Inc, JKH Healthcare Holdings LLC, JM Home Health Holdings LLC

    CMS ownership

Practitioners & affiliated clinicians

Affiliated clinicians 18

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1043619141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 KERMIT DR STE 204",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372175102",
            "telephone_number": "615-365-4424",
            "fax_number": "615-365-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 EASTVIEW PKWY STE 800",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135772",
            "telephone_number": "678-806-5336",
            "fax_number": "678-806-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "MCFADDIN-MILLS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "SENIOR VP OF COMPLIANCE",
        "authorized_official_telephone_number": "615-365-4424"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "122 - 195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BridgeWay Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BridgeWay Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.