NPIMap

Organization Active NPI

Comfort Care Hospice, LLC

Doing business as Aveanna Hospice of Demopolis

  • Community Based Hospice Care Agency
  • Demopolis, AL
National Provider Identifier
1104881366
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
10245 Issued in AL
Legal business name
COMFORT CARE HOSPICE, LLC
Doing business as
Aveanna Hospice of Demopolis
Practice address
547 US Highway 80 W Ste 2
Demopolis, AL 36732-4126
Phone
(334) 289-2106
Fax
(334) 289-2693
NPI assigned
Apr 19, 2006
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
Community Based Hospice Care Agency 251G00000X 10245 AL Primary

Addresses

Primary practice location

547 US Highway 80 W Ste 2
Demopolis, AL 36732-4126

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
PIC1576EMedicaidAL

Other names 1

  • Aveanna Hospice of Demopolis Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040818000246 AL Part A Provider - Hospice 9133038243 Practice locations: Demopolis, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104881366. Details of each certification follow.

Hospice certification: CCN 011576

Legal name
COMFORT CARE HOSPICE LLC
Doing business as
AVEANNA HOSPICE OF DEMOPOLIS
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 23, 2000
Last certification
Aug 1, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Sep 28, 1999 in AL
Enrollment address
547 US Highway 80 W
Ste 2
Demopolis, AL 36732-4126

Other NPIs with the same Medicare PAC ID 9

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Aveanna Hospice of DemopolisCCN 011576 · All quality measures
Ownership
Other
Certified
Mar 23, 2000
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Comfort Care Hospice LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

547 US Highway 80 W
Ste 2
Demopolis, AL 36732
Phone (334) 289-2106

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 Dec 10, 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 Dec 10, 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 Dec 10, 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 Dec 10, 2021 100%
Portia Walker Individual W-2 Managing EmployeeAd; Mar 16, 2025
Aveanna Healthcare Holdings Inc Organization, Atlanta, GA Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 10, 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 6.34%
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 Dec 10, 2021 5.35%
Archie D Hooper Individual W-2 Managing EmployeeMD; Sep 1, 2023
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 Dec 10, 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 Dec 10, 2021 35.54%
Jerrold Perchik Individual Corporate OfficerSecretary Apr 29, 2024
Aveanna Healthcare Senior Services LLC Organization, Atlanta, GA LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 10, 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 Dec 10, 2021 41.83%
Jeffrey Shaner Individual Corporate OfficerCeo Dec 10, 2021
Corporate DirectorCeo Jan 1, 2023
Pea Washington Holdings, LP Organization, Jersey City, NJ For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 10, 2021 5.45%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aveanna Hospice of FairhopeFairhope, AL, CCN 011502 Hospice 5% Or Greater Direct Ownership Interest (100%) Nov 17, 2015
Aveanna HospiceSpringfield, TN, CCN 441507 Hospice 5% Or Greater Direct Ownership Interest (100%) Apr 15, 2019

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 122

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

  • Comfort Care Coastal Home Health, LLC

    dba Aveanna Home Health

    • Home Health Agency
    • Foley, AL
    • NPI 1740653047

    Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Aveanna Healthcare Senior Services LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investme

    CMS ownership
  • Comfort Care Coastal Hospice, LLC

    dba Aveanna Hospice of Fairhope

    • Community Based Hospice Care Agency
    • Fairhope, AL
    • NPI 1205209509

    Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Aveanna Healthcare Senior Services LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investme

    CMS ownership
  • Comfort Care Home Health of North Alabama, LLC

    dba Aveanna Home Health

    • Home Health Agency
    • Huntsville, AL
    • NPI 1992230601

    Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Aveanna Healthcare Senior Services LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investme

    CMS ownership
  • Comfort Care Home Health of Northeast Alabama, LLC

    dba Aveanna Home Health

    • Home Health Agency
    • Gadsden, AL
    • NPI 1114451846

    Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Aveanna Healthcare Senior Services LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investme

    CMS ownership
  • Comfort Care Home Health of West Alabama, LLC

    dba Aveanna Home Health

    • Home Health Agency
    • Livingston, AL
    • NPI 1225513278

    Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Aveanna Healthcare Senior Services LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investme

    CMS ownership
  • Comfort Care Home Health Services LLC

    dba Aveanna Home Health

    • Home Health Agency
    • Athens, AL
    • NPI 1659078236

    Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Aveanna Healthcare Senior Services LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investme

    CMS ownership
  • Comfort Care Home Health Services LLC

    dba Aveanna Home Health

    • Home Health Agency
    • Hoover, AL
    • NPI 1851350334

    Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Aveanna Healthcare Senior Services LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investme

    CMS ownership
  • Comfort Care Hospice, LLC

    dba Aveanna Hospice of Cullman

    • Community Based Hospice Care Agency
    • Cullman, AL
    • NPI 1154354637

    Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Aveanna Healthcare Senior Services LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investme

    CMS ownership
  • Comfort Care Hospice, LLC

    dba Aveanna Hospice of Decatur

    • Community Based Hospice Care Agency
    • Decatur, AL
    • NPI 1285673681

    Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Aveanna Healthcare Senior Services LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investme

    CMS ownership
  • Comfort Care Hospice, LLC

    dba Aveanna Hospice of Gardendale

    • Community Based Hospice Care Agency
    • Pelham, AL
    • NPI 1366407520

    Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Aveanna Healthcare Senior Services LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investme

    CMS ownership
  • Comfort Care Hospice, LLC

    dba Aveanna Hospice of Scottsboro

    • Community Based Hospice Care Agency
    • Scottsboro, AL
    • NPI 1457384844

    Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Aveanna Healthcare Senior Services LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investme

    CMS ownership
  • Comfort Care Hospice, LLC

    dba Aveanna Hospice of Gadsden

    • Community Based Hospice Care Agency
    • Gadsden, AL
    • NPI 1528007044

    Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Aveanna Healthcare Senior Services LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investme

    CMS ownership
View all 122

Practitioners & affiliated clinicians

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1104881366",
    "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": "547 US HIGHWAY 80 W STE 2",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "367324126",
            "telephone_number": "334-289-2106",
            "fax_number": "334-289-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT CARE HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AL",
            "license": "10245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PIC1576E",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aveanna Hospice of Demopolis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Demopolis, AL

Sources for this page

Verify at the official NPI Registry.