Organization Active NPI

Willowbrook Home Health Care Agency, Inc.

Doing business as Aveanna Home Health

  • Home Health Agency
  • Murfreesboro, TN
National Provider Identifier
1356348684
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HH0000000259 Issued in TN
Legal business name
WILLOWBROOK HOME HEALTH CARE AGENCY, INC.
Doing business as
Aveanna Home Health
Practice address
750 S Church St BLDG B
Suite a
Murfreesboro, TN 37130-4926
Phone
(931) 488-5070
Fax
(931) 536-9110
NPI assigned
Jul 1, 2005
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 HH0000000259 TN Primary

Addresses

Primary practice location

750 S Church St BLDG B
Suite a
Murfreesboro, TN 37130-4926

Mailing address

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

Other practice location 1

235 Noah Dr Ste 300
Franklin, TN 37064-4048
Phone (615) 790-3707

Other practice location 2

131 Saundersville Rd Ste 340A
Hendersonville, TN 37075-8980
Phone (615) 824-4931

Other names 1

  • Aveanna Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060612000290 TN Part A Provider - Home Health Agency 6103838149 Practice locations: Hendersonville, TN; Franklin, TN; Shelbyville, TN; Nashville, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356348684. Details of each certification follow.

Home health agency certification: CCN 447163

Legal name
WILLOWBROOK HOME HEALTH CARE AGENCY, INC.
Doing business as
AVEANNA HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 12, 1981
Last certification
Dec 18, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 26, 1981 in TN
Enrollment address
1451 Elm Hill Pike
Ste 102
Nashville, TN 37210-4536

Care Compare: Home health agency

Medicare Care Compare
Listed as
Aveanna Home HealthCCN 447163 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Nov 12, 1981
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
44D0718712Willowbrook Home Health Care Agency, Inc750 S Church St, BLDG B, Suite a, Murfreesboro, TN 37130Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

279 Clear Sky Ct
Ste A
Clarksville, TN 37043
Phone (615) 399-2220

106 Highway 70 E
Ste 5
Dickson, TN 37055
Phone (615) 441-3630

125 Haven St
#A
Hendersonville, TN 37075
Phone (615) 824-4931

131 Saundersville Rd
Ste 340A
Hendersonville, TN 37075
Phone (615) 824-4931

1451 Elm Hill Pike
Ste 102
Nashville, TN 37210

3239 Tom Austin Hwy
Springfield, TN 37172
Phone (615) 382-2044

Ownership & related parties

All disclosed owners & managing parties 17

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 5% Or Greater Indirect Ownership Interest Oct 26, 2020 17.04%
Psa Healthcare Investment Holding LLC Organization, New Canaan, CT LLC, Holding company 5% Or Greater Indirect Ownership Interest Oct 26, 2020 8.51%
Aveanna Healthcare LLC Organization, Atlanta, GA LLC, Holding company 5% Or Greater Indirect Ownership Interest Oct 26, 2020 100%
Other Jan 1, 2022
Aveanna Healthcare Intermediate Holdings LLC Organization, Atlanta, GA LLC, Holding company 5% Or Greater Indirect Ownership Interest Oct 26, 2020 100%
Aveanna Healthcare Holdings Inc Organization, Atlanta, GA Corporation, Holding company 5% Or Greater Indirect Ownership Interest Oct 26, 2020 100%
David Afshar Individual Corporate OfficerCfo Oct 26, 2020
OtherCfo Jan 1, 2022
Bcip Associates IV US L.P. Organization, Boston, MA Investment firm 5% Or Greater Indirect Ownership Interest Oct 26, 2020 5.65%
Hamilton Lane Co-Investment Fund III Holdings - 2 LP Organization, Bala Cynwyd, PA Holding company 5% Or Greater Indirect Ownership Interest Oct 26, 2020 7.94%
Bain Capital Fund XI LP Organization, Boston, MA Investment firm 5% Or Greater Indirect Ownership Interest Oct 26, 2020 37.53%
Willowbrook Health Systems Inc Organization, Atlanta, GA Corporation 5% Or Greater Direct Ownership Interest Apr 18, 2018 100%
Shannon L Drake Individual Corporate OfficerSecretary Oct 26, 2020
Five Points Healthcare, LLC Organization, Atlanta, GA LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 29, 2014 100%
Aveanna Healthcare Senior Services LLC Organization, Atlanta, GA LLC 5% Or Greater Indirect Ownership Interest Oct 26, 2020 100%
Jodie R Walburn Individual W-2 Managing EmployeeAdministrator Dec 23, 2020
Bcpe Eagle Investor, L.P. Organization, Boston, MA Investment firm 5% Or Greater Indirect Ownership Interest Apr 29, 2021 44.17%
Jeffrey Shaner Individual Corporate OfficerCeo Oct 26, 2020
Pea Washington Holdings, LP Organization, George Town 5% Or Greater Indirect Ownership Interest Apr 29, 2021 5.9%

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 54

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

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1356348684",
    "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": "750 S CHURCH ST BLDG B",
            "address_2": "SUITE A",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371304926",
            "telephone_number": "931-488-5070",
            "fax_number": "931-536-9110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 Noah Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370644048",
            "country_code": "US",
            "telephone_number": "615-790-3707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131 Saundersville Rd Ste 340A",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370758980",
            "country_code": "US",
            "telephone_number": "615-824-4931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILLOWBROOK HOME HEALTH CARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "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": "TN",
            "license": "HH0000000259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aveanna Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.