Organization Active NPI

Abilishealth Martin, LLC

Doing business as Adoration Home Health Martin

  • Home Health Agency
  • Martin, TN
National Provider Identifier
1093295040
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
276 Issued in TN
Legal business name
ABILISHEALTH MARTIN, LLC
Doing business as
Adoration Home Health Martin
Practice address
135 Kennedy Dr
Martin, TN 38237-3309
Phone
(731) 587-2996
Fax
(731) 587-3228
NPI assigned
Aug 20, 2018
Last updated
Nov 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Margaret S Pemberton
Title
Vice President
Phone
(502) 272-3466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 276 TN Primary

Addresses

Primary practice location

135 Kennedy Dr
Martin, TN 38237-3309

Mailing address

750 Old Hickory Blvd Ste 2-270
Brentwood, TN 37027-4528
Phone (615) 781-0666

Other names 1

  • Adoration Home Health Martin Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181121002744 TN Part A Provider - Home Health Agency 7416201801 Practice locations: Martin, TN; Rutherford, TN; Union City, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093295040. Details of each certification follow.

Home health agency certification: CCN 447225

Legal name
ABILISHEALTH MARTIN, LLC
Doing business as
ADORATION HOME HEALTH MARTIN
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 6, 1983
Last certification
Jan 24, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 29, 2018 in DE
Enrollment address
135 Kennedy Dr
Martin, TN 38237-3309

Care Compare: Home health agency

Medicare Care Compare
Listed as
Adoration Home Health MartinCCN 447225 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Jul 6, 1983
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
44D0864418Abilishealth Martin LLC135 Kennedy Drive, Martin, TN 38237Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

102 S Trenton St
Rutherford, TN 38369
Phone (731) 665-6445

312 W Main St
Waverly, TN 37185
Phone (931) 325-6646

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
Abilishealth Martin Holdco LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Aug 1, 2018 100%
Leah Trevathan Individual W-2 Managing Employee Jan 1, 2021
Jennifer Phipps Individual Corporate OfficerTreasurer Jul 22, 2022
Walgreen Co Organization, Deerfield, IL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jan 13, 2025 20%
Adoration Home Health & Hospice Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2020 100%
Allison Brown Individual Corporate OfficerSecretary Mar 20, 2021
Corporate DirectorSecretary Mar 20, 2021
Margaret Sherry Pemberton Individual Corporate Officer Jan 1, 2021
Corporate Director Jan 1, 2021
Brightspring Health Holdings Corp Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2021 100%
Phoenix Guarantor Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2021 100%
Res-Care Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2021 100%
Phoenix Intermediate Holdings Inc. Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2021 100%
Elizabeth Robinson Individual Corporate Officer Aug 1, 2024
Corporate Director Aug 1, 2024
Walgreens Holding Company Organization, Deerfield, IL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jan 13, 2025 20%
Brightspring Health Services Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2021 100%
KKR Phoenix Aggregator L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Jan 13, 2025 48%
Limited Partnership Interest Jan 13, 2025 48%
Abilishealth, LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2021 100%
KKR Americas Fund XII LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Jan 13, 2025 42%
Limited Partnership Interest Jan 13, 2025 42%
Adoration Home Health Care LLC Organization, Louisville, KY LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2020 100%
Rescare Holdings Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2021 100%

Facilities with the same owner 151

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

View all 151

Change-of-ownership history 1

DateEventCounterparty
Aug 1, 2018 Change of OwnershipThis provider was the buyer Careall Homecare ServicesCCN 447225, TN, NPI 1972568335

Change of ownership 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1093295040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 OLD HICKORY BLVD STE 2-270",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274528",
            "telephone_number": "615-781-0666",
            "fax_number": "615-891-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 KENNEDY DR",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373309",
            "telephone_number": "731-587-2996",
            "fax_number": "731-587-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILISHEALTH MARTIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "PEMBERTON",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "502-272-3466"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adoration Home Health Martin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martin, TN

Sources for this page

Verify at the official NPI Registry.