Organization Active NPI

Comfort Care Hospice, LLC

Doing business as Aveanna Hospice of Gardendale

  • Community Based Hospice Care Agency
  • Pelham, AL
National Provider Identifier
1366407520
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
01267 Issued in AL
Legal business name
COMFORT CARE HOSPICE, LLC
Doing business as
Aveanna Hospice of Gardendale
Aveanna Hospice of Pelham
Practice address
245 Cahaba Valley Pkwy Ste 110
Pelham, AL 35124-2217
Phone
(205) 663-6887
Fax
(205) 663-6874
NPI assigned
Apr 19, 2006
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 10267 AL
Community Based Hospice Care Agency 251G00000X 01267 AL Primary

Addresses

Primary practice location

245 Cahaba Valley Pkwy Ste 110
Pelham, AL 35124-2217

Mailing address

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

Other practice location 1

1501 Decatur Hwy Ste 201
Gardendale, AL 35071-3857
Phone (205) 272-7890

Other identifiers 1

IdentifierTypeStateIssuer
PIC1607EMedicaidAL

Other names 2

  • Aveanna Hospice of Gardendale Doing business as
  • Aveanna Hospice of Pelham Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031006000001 AL Part A Provider - Hospice 9133038243 Practice locations: Gardendale, AL; Pelham, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366407520. Details of each certification follow.

Hospice certification: CCN 011607

Legal name
COMFORT CARE HOSPICE LLC
Doing business as
AVEANNA HOSPICE OF PELHAM
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 16, 2003
Last certification
May 20, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Sep 29, 1999 in AL
Enrollment address
245 Cahaba Valley Pkwy
Ste 110
Pelham, AL 35124-2217

Other NPIs with the same Medicare PAC ID 9

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Aveanna Hospice of PelhamCCN 011607 · All quality measures
Ownership
Other
Certified
Oct 16, 2003
Medicare certification status
ActiveFrom the Provider of Services file

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
01D2203345Comfort Care Hospice, LLC245 Cahaba Valley Parkway, Suite 110, Pelham, AL 35124Certificate of waiverDec 2, 2026

National Provider Directory

National Provider Directory
Tax ID family
Comfort Care Hospice LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

1805 E Three Notch St
Ste 3
Andalusia, AL 36421
Phone (334) 427-4000

1922 Professional Cir
Ste 102
Auburn, AL 36830
Phone (334) 395-8594

215 Belleville Ave
Ste A
Brewton, AL 36426
Phone (251) 867-6232

722 Douglas Ave
Brewton, AL 36426
Phone (251) 867-6232

935 US Highway 80 W
Demopolis, AL 36732
Phone (334) 289-2106

1501 Decatur Hwy
#201
Gardendale, AL 35071
Phone (205) 272-7890

838 Odum Rd
Ste 108
Gardendale, AL 35071
Phone (205) 272-7890

23 Jameson Ln
Greenville, AL 36037
Phone (334) 383-9688

4245 Balmoral Dr SW
Ste 202
Huntsville, AL 35801
Phone (256) 429-2266

29 Pineville Rd
Monroeville, AL 36460
Phone (251) 227-8880

14315 Court St
Moulton, AL 35650
Phone (256) 905-0280

245 Cahaba Valley Pkwy
Ste 110
Pelham, AL 35124
Phone (205) 663-6874

111 Hollingsworth Ave
Rainbow City, AL 35906
Phone (256) 413-9045

919 S Broad St
Scottsboro, AL 35768
Phone (256) 259-0906

2314 Maxie Thomas Way
Tuscaloosa, AL 35401
Phone (205) 650-3060

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.

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 10, 2021 16.36%
Psa Healthcare Investment Holding LLC Organization, New Canaan, CT LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 10, 2021 8.17%
Aveanna Healthcare LLC Organization, Atlanta, GA LLC, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 10, 2021 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 10, 2021 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 Dec 10, 2021 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 10, 2021 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 10, 2021 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 10, 2021 36.04%
Frantzcy Ceneus Individual W-2 Managing EmployeeMD; Mar 29, 2024
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 Direct Ownership Interest Dec 10, 2021 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 Dec 10, 2021 42.42%
Jessica Leigh Tucker Individual W-2 Managing EmployeeAd; Nov 26, 2023
Jeffrey Shaner Individual Corporate OfficerCeo Dec 10, 2021
Corporate DirectorCeo Jan 1, 2023
Pea Washington Holdings, LP Organization, George Town For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 10, 2021 5.54%

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aveanna Hospice of FairhopeFairhope, AL, CCN 011502 Hospice 5% Or Greater Direct Ownership Interest (100%) Nov 17, 2015
Aveanna HospiceSpringfield, TN, CCN 441507 Hospice 5% Or Greater Direct Ownership Interest (100%) Apr 15, 2019

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 6

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 4

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": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1366407520",
    "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": "245 CAHABA VALLEY PKWY STE 110",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242217",
            "telephone_number": "205-663-6887",
            "fax_number": "205-663-6874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Decatur Hwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Gardendale",
            "state": "AL",
            "postal_code": "350713857",
            "country_code": "US",
            "telephone_number": "205-272-7890",
            "fax_number": "205-905-6128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMFORT CARE HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AL",
            "license": "10267",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AL",
            "license": "01267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PIC1607E",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aveanna Hospice of Gardendale",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aveanna Hospice of Pelham",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aveanna Hospice of Pelham",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pelham, AL

Sources for this page

Verify at the official NPI Registry.