Organization Active NPI

Dependable Nurses of Phoenix, LLC

  • Home Health Agency
  • Scottsdale, AZ
National Provider Identifier
1245323294
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DEPENDABLE NURSES OF PHOENIX, LLC
Practice address
8687 East Via de Ventura
Suite 110
Scottsdale, AZ 85258-3351
Phone
(480) 609-9000
Fax
(480) 609-9021
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 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

8687 East Via de Ventura
Suite 110
Scottsdale, AZ 85258-3351

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
HHA 3392MedicaidAZ

Other names 1

  • Thrive Skilled Pediatric Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061220000314 AZ Part A Provider - Home Health Agency 7517990070 Practice locations: Scottsdale, AZ

Home health agency certification: CCN 037286

Legal name
DEPENDABLE NURSES OF PHOENIX LLC
Doing business as
THRIVE SKILLED PEDIATRIC CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 8, 2010
Last certification
Jul 31, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Dec 22, 2016 in DE
Enrollment address
8687 E Via de Ventura
Ste 110
Scottsdale, AZ 85258-3351
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Thrive Skilled Pediatric CareCCN 037286
Ownership
Proprietary
Certified
Sep 8, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical 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
03D1018614Dependable Nurses of Phoenix, LLC8687 E Via de Ventura, Ste 110, Scottsdale, AZ 85258Certificate of waiverOct 26, 2027

National Provider Directory

National Provider Directory

Locations

2403 N Stockton Hill Rd
Ste 3
Kingman, AZ 86401
Phone (602) 753-6556

8687 E Via de Ventura
Ste 110
Scottsdale, AZ 85258
Phone (480) 609-9000

8687 E Via de Ventura
Ste 207
Scottsdale, AZ 85258
Phone (480) 609-9000

5151 E Broadway Blvd
Ste 120
Tucson, AZ 85711
Phone (520) 526-9988

Ownership & related parties

All disclosed owners & managing parties 20

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 Jun 2, 2025 6.18%
Psa Healthcare Investment Holding LLC Organization, New Canaan, CT LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 2, 2025 7.14%
Aveanna Healthcare LLC Organization, Atlanta, GA LLC, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 2, 2025 100%
Thrive Skilled Pediatric Care LLC Organization, Wakefield, MA LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 2, 2016 100%
Aveanna Healthcare Intermediate Holdings LLC Organization, Atlanta, GA LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 2, 2025 100%
Pediatric Services Holding LLC Organization, Atlanta, GA LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 2, 2025 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 Jun 2, 2025 100%
Nut Tree Master Fund LP Organization, New York, NY For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 2, 2025 5.69%
Matthew Buckhalter Individual Corporate OfficerCfo Jun 2, 2025
Corporate DirectorCfo Jun 2, 2025
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 Jun 2, 2025 6.68%
Deborah Stewart Individual Corporate DirectorDirector Jun 2, 2025
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 Jun 2, 2025 31.87%
Psa Healthcare Intermediate Holding LLC Organization, Atlanta, GA LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 2, 2025 100%
SP Ge IX-B Thrive Blocker Corp Organization, Atlanta, GA Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 6, 2026 100%
Pediatric Services of America, LLC Organization, Atlanta, GA LLC, Medical provider/supplier, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 2, 2025 100%
Jerrold Perchik Individual Corporate OfficerSecretary Jun 2, 2025
Pediatric Services of America LLC Organization, Atlanta, GA LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 2, 2025 100%
Melissa R Robinson Individual W-2 Managing EmployeeAd; Feb 25, 2026
Bcpe Eagle Investor, L.P. Organization, Boston, MA Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 2, 2025 37.52%
Jeffrey Shaner Individual Corporate OfficerCeo Jun 2, 2025
Corporate DirectorCeo Jun 2, 2025

Owners & managing parties with NPI records 20

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

View all 20

Facilities with the same owner 122

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

View all 122

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1245323294",
    "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": "8687 EAST VIA DE VENTURA",
            "address_2": "SUITE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583351",
            "telephone_number": "480-609-9000",
            "fax_number": "480-609-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPENDABLE NURSES OF PHOENIX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA 3392",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive Skilled Pediatric Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thrive Skilled Pediatric Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.