NPIMap

Organization Active NPI

Recover Health of Minnesota, Inc.

Doing business as Aveanna Home Health

  • Home Health Agency
  • Rochester, MN
National Provider Identifier
1306072939
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RECOVER HEALTH OF MINNESOTA, INC.
Doing business as
Aveanna Home Health
Practice address
3428 Lakeridge PL NW Ste 115
Rochester, MN 55901-6573
Phone
(507) 282-2246
NPI assigned
Jun 10, 2009
Last updated
Jan 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 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 NU Primary

Addresses

Primary practice location

3428 Lakeridge PL NW Ste 115
Rochester, MN 55901-6573

Mailing address

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

Other practice location 1

111 Riverfront Ste 102
Winona, MN 55987-3456
Phone (507) 494-8600

Other identifiers 1

IdentifierTypeStateIssuer
1411674742MedicaidMN

Other names 1

  • Aveanna Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160721002034 MN Part A Provider - Home Health Agency 1153230230 Practice locations: Rochester, MN; Winona, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306072939. Details of each certification follow.

Home health agency certification: CCN 248098

Legal name
RECOVER HEALTH OF MINNESOTA INC
Doing business as
AVEANNA HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 29, 2006
Last certification
May 24, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 7, 1988 in MN
Enrollment address
3428 Lakeridge PL NW
Ste 115
Rochester, MN 55901-6573

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Aveanna Home HealthCCN 248098 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Sep 29, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
24D1038676Aveanna Home Health3428 Lakeridge Place NW, Suite 115, Rochester, MN 55901Certificate of waiverMar 13, 2028

National Provider Directory

National Provider Directory
Tax ID family
Aveanna Home Health6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

111 Riverfront
Ste 102
Winona, MN 55987
Phone (507) 494-8600

700 3rd St N
Ste 103
La Crosse, WI 54601
Phone (608) 783-3200

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
J.H. Whitney VII LP Organization, New Canaan, CT For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 20, 2020 16.36%
Psa Healthcare Investment Holding LLC Organization, New Canaan, CT LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 20, 2020 8.17%
Lori Anderson Individual W-2 Managing EmployeeAd; Jun 12, 2023
Aveanna Healthcare LLC Organization, Atlanta, GA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 20, 2020 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 20, 2020 100%
Aveanna Healthcare Holdings Inc Organization, Atlanta, GA Corporation, Holding company 5% Or Greater Indirect Ownership Interest Dec 20, 2020 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 Dec 20, 2020 5.43%
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 20, 2020 7.62%
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 20, 2020 36.04%
Recover Health Services LLC Organization, Atlanta, GA LLC, Chain home office Operational/Managerial Control Jun 29, 2016
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 Indirect Ownership Interest Dec 20, 2020 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 42.42%
Recover Health Inc Organization, Atlanta, GA Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 29, 2016 100%
Jeffrey Shaner Individual Corporate OfficerCeo Dec 20, 2020
Corporate DirectorCeo Jan 1, 2023
Pea Washington Holdings, LP Organization, Jersey City, NJ Holding company, For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 29, 2021 5.54%

Facilities with the same owner 122

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

  • Recover Health of Minnesota, Inc.

    dba Aveanna Home Health

    • Home Health Agency
    • Grand Rapids, MN
    • NPI 1346272945

    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
  • Recover Health of Minnesota, Inc.

    dba Aveanna Home Health

    • Home Health Agency
    • Virginia, MN
    • NPI 1598768350

    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
  • Recover Health of Minnesota, Inc.

    dba Aveanna Home Health

    • Home Health Agency
    • Duluth, MN
    • NPI 1639627391

    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
  • Recover Health of Minnesota, Inc.

    dba Aveanna Home Health

    • Home Health Agency
    • Waite Park, MN
    • NPI 1841297140

    Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Aveanna Healthcare Senior Services LLC, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 L

    CMS ownership
  • Recover Health of Minnesota, Inc.

    dba Aveanna Home Health

    • Home Health Agency
    • Edina, MN
    • NPI 1972500478

    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
  • 5 Star Home Health Services, LLC

    dba Aveanna Home Health

    • Home Health Agency
    • Orlando, FL
    • NPI 1376584730

    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
  • 5 Star Home Health Services, LLC

    dba Aveanna Home Health

    • Home Health Agency
    • Gainesville, FL
    • NPI 1518182773

    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
  • Andventure, LLC

    dba Aveanna Healthcare

    • Home Health Agency
    • Chambersburg, PA
    • NPI 1013150275

    Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne

    CMS ownership
  • Andventure, LLC

    dba Aveanna Healthcare

    • Home Health Agency
    • Phoenix, AZ
    • NPI 1013156470

    Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne

    CMS ownership
  • Andventure, LLC

    dba Aveanna Healthcare

    • Home Health Agency
    • Lancaster, PA
    • NPI 1093788002

    Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne

    CMS ownership
  • Andventure, LLC

    dba Aveanna Healthcare

    • Home Health Agency
    • State College, PA
    • NPI 1760621122

    Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne

    CMS ownership
  • Andventure, LLC

    dba Aveanna Healthcare

    • Home Health Agency
    • Springfield, MA
    • NPI 1881833259

    Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne

    CMS ownership
View all 122

Practitioners & affiliated clinicians

Affiliated clinicians 93

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

View all 93

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1306072939",
    "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": "3428 LAKERIDGE PL NW STE 115",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016573",
            "telephone_number": "507-282-2246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Riverfront Ste 102",
            "address_purpose": "LOCATION",
            "city": "Winona",
            "state": "MN",
            "postal_code": "559873456",
            "country_code": "US",
            "telephone_number": "507-494-8600",
            "fax_number": "507-474-4005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RECOVER HEALTH OF MINNESOTA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1411674742",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aveanna Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.