Willowbrook Home Health Care Agency, Inc.
Organization Active NPI Home Health Agency · Murfreesboro, TN
NPI 1356348684 · NPPES record last updated Jan 28, 2025
Key facts
- NPI
- 1356348684
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- HH0000000259 (TN)
- Legal business name
- WILLOWBROOK HOME HEALTH CARE AGENCY, INC.
- 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
- Organization subpart
- No
Authorized official
- Name
- Matthew Buckhalter
- Title
- Cfo
- Phone
- (470) 464-8000
Facilities with the same owner 122
Practitioners 1
Affiliated clinicians 54
-
Matthew Abbate, MD
-
David W Allen, MD
-
Newton P. Allen Jr., M.D.
-
Sarah Anderson, MD
-
Kelly Bornefeld, APRN, FNP-C
-
Steven Leander Bouldin, M.D.
-
Ian R Byram, MD
-
Nitara Danielle Carswell, M.D.
-
Billy Copeland, M.D.
-
Tracey Ellen Doering, M.D.
-
David Bein Eskind, M.D.
-
Amy D Gandhi, M.D.
-
Anne E. Gifford, MD
-
William Daniel Halford, M.D.
-
Nathan J. Hall, M.D.
-
Connor James Henry, FNP
-
Christopher Housden, D.O.
-
Kellie Humphrey, NP-C
-
Chris M. Marasco, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Aveanna Home Health
- Overall star rating
- ★★★★☆ 4 of 5
- Ownership
- Proprietary
- Certified
- Nov 12, 1981
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0718712 | Willowbrook Home Health Care Agency, Inc | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
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
- Corporation · Proprietary
- Incorporated
- Aug 26, 1981 in TN
- Enrollment address
- 1451 Elm Hill Pike
Ste 102
Nashville, TN 37210-4536
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| J.H. Whitney VII LP |
5% Or Greater Indirect Ownership Interest | Oct 26, 2020 | 17.04% |
| Psa Healthcare Investment Holding LLC |
5% Or Greater Indirect Ownership Interest | Oct 26, 2020 | 8.51% |
| Aveanna Healthcare LLC |
5% Or Greater Indirect Ownership Interest | Oct 26, 2020 | 100% |
| Other | Jan 1, 2022 | ||
| Aveanna Healthcare Intermediate Holdings LLC |
5% Or Greater Indirect Ownership Interest | Oct 26, 2020 | 100% |
| Aveanna Healthcare Holdings Inc |
5% Or Greater Indirect Ownership Interest | Oct 26, 2020 | 100% |
| David Afshar |
Corporate Officer |
Oct 26, 2020 | |
| Other |
Jan 1, 2022 | ||
| Bcip Associates IV US L.P. |
5% Or Greater Indirect Ownership Interest | Oct 26, 2020 | 5.65% |
| Hamilton Lane Co-Investment Fund III Holdings - 2 LP |
5% Or Greater Indirect Ownership Interest | Oct 26, 2020 | 7.94% |
| Bain Capital Fund XI LP |
5% Or Greater Indirect Ownership Interest | Oct 26, 2020 | 37.53% |
| Willowbrook Health Systems Inc |
5% Or Greater Direct Ownership Interest | Apr 18, 2018 | 100% |
| Shannon L Drake |
Corporate Officer |
Oct 26, 2020 | |
| Five Points Healthcare, LLC |
5% Or Greater Indirect Ownership Interest | Aug 29, 2014 | 100% |
| Aveanna Healthcare Senior Services LLC |
5% Or Greater Indirect Ownership Interest | Oct 26, 2020 | 100% |
| Jodie R Walburn |
W-2 Managing Employee |
Dec 23, 2020 | |
| Bcpe Eagle Investor, L.P. |
5% Or Greater Indirect Ownership Interest | Apr 29, 2021 | 44.17% |
| Jeffrey Shaner |
Corporate Officer |
Oct 26, 2020 | |
| Pea Washington Holdings, LP |
5% Or Greater Indirect Ownership Interest | Apr 29, 2021 | 5.9% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060612000290 | TN | Part a Provider - Home Health Agency | 6103838149 | Practice locations: Hendersonville, TN; Franklin, TN; Shelbyville, TN; Nashville, TN |
National Provider Directory
Locations
279 Clear Sky Ct
Ste A
Clarksville, TN 37043
Phone (615) 399-2220
235 Noah Dr
Ste 300
Franklin, TN 37064
Phone (615) 790-3707
125 Haven St
#A
Hendersonville, TN 37075
Phone (615) 824-4931
131 Saundersville Rd
Ste 340A
Hendersonville, TN 37075
Phone (615) 824-4931
1302 N Main St
Ste 2A
Shelbyville, TN 37160
Phone (931) 488-5070
3239 Tom Austin Hwy
Springfield, TN 37172
Phone (615) 382-2044
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HH0000000259 | TN | Yes |
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
- Aveanna Home Health
Other providers in Murfreesboro, TN
- Terisa Williams
- Yoncenia Williams
- Katherine Williamson
- Miranda Willis
- Mitchell B. Willoughby
- Samantha Gail Cuff Wills
- Amanda Nicole Wilson
- Amy S Wilson
- Carol Wilson
- Catherine S Wilson
All providers in Murfreesboro, TN · Home Health Agency in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.