Active NPI
Timeless Home Care LLC
Doing business as Aveanna Home Health
- Home Health Agency
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HH19965858
- Legal business name
- TIMELESS HOME CARE LLC
- Doing business as
- Aveanna Home Health
- Practice address
- 4901 NW 17TH Way Ste 100
Fort Lauderdale, FL 33309-3770 - Phone
- (954) 367-3816
- Fax
- (954) 367-3813
- NPI assigned
- Apr 23, 2008
- Last updated
- Jan 28, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HH19965858 | FL | Primary |
Addresses
Primary practice location
4901 NW 17TH Way Ste 100
Fort Lauderdale, FL 33309-3770
Mailing address
400 Interstate North Pkwy SE Ste 1600
Atlanta, GA 30339-5047
Phone (470) 464-8000
Other names 1
- Aveanna Home Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081215000162 | FL | Part A Provider - Home Health Agency | 5496817108 | Practice locations: Fort Lauderdale, FL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1316112212. Details of each certification follow.
Home health agency certification: CCN 109485
- Legal name
- TIMELESS HOME CARE LLC
- Doing business as
- AVEANNA HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 15, 2009
- Last certification
- Sep 28, 2012
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Apr 9, 2021 in FL
- Enrollment address
- 4901 NW 17TH Way
Ste 100
Fort Lauderdale, FL 33309-3770
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Aveanna Home Health
- Overall star rating
- Ownership
- Proprietary
- Certified
- Dec 15, 2009
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
4901 NW 17th Way
Ste 100
Fort Lauderdale, FL 33309
Phone (954) 367-3816
425 N Federal Hwy
#B
Hallandale Beach, FL 33009
Phone (954) 367-3816
2057 Coolidge St
#220
Hollywood, FL 33020
Phone (954) 367-3816
2750 N 29th Ave
Ste 320
Hollywood, FL 33020
Phone (954) 367-3816
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.
| Name | Role | Since | Share |
|---|---|---|---|
| J.H. Whitney VII LP | 5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 16.09% |
| Psa Healthcare Investment Holding LLC | 5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 8.04% |
| Aveanna Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 100% |
| Other | Jan 1, 2022 | ||
| Aveanna Healthcare Intermediate Holdings LLC | 5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 100% |
| Aveanna Healthcare Holdings Inc | 5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 100% |
| Nut Tree Master Fund LP | 5% Or Greater Indirect Ownership Interest | Dec 31, 2023 | 6.34% |
| Matthew Buckhalter | Corporate Officer | Jul 7, 2023 | |
| Corporate Director | Jul 7, 2023 | ||
| Bcip Associates IV US L.P. | 5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 5.35% |
| Vanessa Altschuler | W-2 Managing Employee | Mar 1, 2024 | |
| Hamilton Lane Co-Investment Fund III Holdings - 2 LP | 5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 7.5% |
| Deborah Stewart | Corporate Director | Jul 7, 2023 | |
| Bain Capital Fund XI LP | 5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 35.54% |
| Jerrold Perchik | Corporate Officer | Apr 29, 2024 | |
| Doctor's Choice Holdings, Inc | 5% Or Greater Direct Ownership Interest | Apr 9, 2021 | 100% |
| Aveanna Healthcare Senior Services LLC | 5% Or Greater Indirect Ownership Interest | Apr 16, 2021 | 100% |
| Bcpe Eagle Investor, L.P. | 5% Or Greater Indirect Ownership Interest | Apr 29, 2021 | 41.83% |
| Jeffrey Shaner | Corporate Officer | Apr 16, 2021 | |
| Corporate Director | Jan 1, 2023 | ||
| Pea Washington Holdings, LP | 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.
-
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., Doctor's Choice Holdings,
-
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., Doctor's Choice Holdings,
-
dba Aveanna Home Health
- Home Health Agency
- Bradenton, FL
- NPI 1104082932
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., Doctor's Choice Holdings,
-
dba Aveanna Home Health
- Home Health Agency
- Sarasota, FL
- NPI 1205051497
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., Doctor's Choice Holdings,
-
dba Aveanna Home Health
- Home Health Agency
- Brooksville, FL
- NPI 1639313760
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., Doctor's Choice Holdings,
-
dba Aveanna Home Health
- Home Health Agency
- Doral, FL
- NPI 1992744882
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., Doctor's Choice Holdings,
-
dba Aveanna Home Health
- Home Health Agency
- Stuart, FL
- NPI 1710246780
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., Doctor's Choice Holdings,
-
dba Aveanna Home Health
- Home Health Agency
- Palm Harbor, FL
- NPI 1477853448
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., Doctor's Choice Holdings,
-
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
-
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
-
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
-
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
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1208908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738022400000",
"number": "1316112212",
"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": "4901 NW 17TH WAY STE 100",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333093770",
"telephone_number": "954-367-3816",
"fax_number": "954-367-3813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIMELESS HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-23",
"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": "FL",
"license": "HH19965858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Aveanna Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.