Organization Active NPI

Doctor'S Choice Home Care, LLC

  • Home Health Agency
  • Bradenton, FL
National Provider Identifier
1104082932
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
109108 Issued in FL
Legal business name
DOCTOR'S CHOICE HOME CARE, LLC
Practice address
4760 E State Road 64
Bradenton, FL 34208
Phone
(833) 283-6286
Fax
(941) 727-4112
NPI assigned
Jul 31, 2008
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 109108 FL Primary

Addresses

Primary practice location

4760 E State Road 64
Bradenton, FL 34208

Mailing address

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

Other practice location 1

1397 Oakfield Dr
Brandon, FL 33511-4862
Phone (833) 283-6286

Other practice location 2

4740 Cleveland Heights Blvd Ste 1
Lakeland, FL 33813-2187
Phone (833) 283-6286

Other practice location 3

2401 US 27 S
Sebring, FL 33870-4943
Phone (863) 658-2812

Other names 1

  • Aveanna Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081008000758 FL Part A Provider - Home Health Agency 8628160025 Practice locations: Bradenton, FL; Brandon, FL; Lakeland, FL; Sebring, FL

Home health agency certification: CCN 109108

Legal name
DOCTOR'S CHOICE HOME CARE, LLC
Doing business as
AVEANNA HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 12, 2009
Last certification
Nov 13, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
4760 E State Road 64
Bradenton, FL 34208-9058
HHA Branch

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Aveanna Home Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4760 E State Road 64
Bradenton, FL 34208
Phone (833) 283-6286

1397 Oakfield Dr
Brandon, FL 33511
Phone (813) 661-6102

4044 N Access Rd
Englewood, FL 34224
Phone (941) 474-5911

4740 Cleveland Heights Blvd
Ste 3
Lakeland, FL 33813
Phone (863) 698-7803

5979 Pine Ridge Rd
Naples, FL 34119
Phone (239) 354-9835

Ownership & related parties

All disclosed owners & managing parties 18

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 Apr 16, 2021 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 16, 2021 8.04%
Aveanna Healthcare LLC Organization, Atlanta, GA LLC, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 16, 2021 100%
Aveanna Healthcare Intermediate Holdings LLC Organization, Atlanta, GA LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 16, 2021 100%
Aveanna Healthcare Holdings Inc Organization, Atlanta, GA Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 16, 2021 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 6.43%
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 Apr 16, 2021 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 Apr 16, 2021 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 Apr 16, 2021 35.54%
Jerrold Perchik Individual Corporate OfficerSecretary Apr 29, 2024
Doctor'S Choice Holdings, Inc Organization, Atlanta, GA LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 30, 2012 100%
Aveanna Healthcare Senior Services LLC Organization, Atlanta, GA LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 16, 2021 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%
Susan Tamburin Individual W-2 Managing EmployeeAd; Feb 13, 2026
Jeffrey Shaner Individual Corporate OfficerCeo Apr 16, 2021
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

Affiliated clinicians 70

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

View all 70

Care Compare: Home health agency

Medicare Care Compare
Listed as
Aveanna Home HealthCCN 109108
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jan 12, 2009
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
10D2067794Doctor'S Choice Home Care, LLC2401 US 27 South, Sebring, FL 33870Certificate of waiverOct 22, 2027

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1104082932",
    "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",
            "fax_number": "770-248-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 E STATE ROAD 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34208",
            "telephone_number": "833-283-6286",
            "fax_number": "941-727-4112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1397 Oakfield Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335114862",
            "country_code": "US",
            "telephone_number": "833-283-6286",
            "fax_number": "813-661-7054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4740 Cleveland Heights Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338132187",
            "country_code": "US",
            "telephone_number": "833-283-6286",
            "fax_number": "863-698-7804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 US 27 S",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338704943",
            "country_code": "US",
            "telephone_number": "863-658-2812",
            "fax_number": "863-658-2845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOCTOR'S CHOICE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "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": "FL",
            "license": "109108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aveanna Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.