Active NPI
Comfort Care Hospice, LLC
Doing business as Aveanna Hospice of Gardendale
- Community Based Hospice Care Agency
- Pelham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 01267
- 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, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PIC1607E | Medicaid | AL |
Other names 2
- Aveanna Hospice of Gardendale
- Aveanna Hospice of Pelham
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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).
-
dba Aveanna Hospice of Demopolis
- Community Based Hospice Care Agency
- Demopolis, AL
- NPI 1104881366
9133038243
-
dba Aveanna Hospice of Cullman
- Community Based Hospice Care Agency
- Cullman, AL
- NPI 1154354637
9133038243
-
dba Aveanna Hospice of Decatur
- Community Based Hospice Care Agency
- Decatur, AL
- NPI 1285673681
9133038243
-
dba Aveanna Hospice of Scottsboro
- Community Based Hospice Care Agency
- Scottsboro, AL
- NPI 1457384844
9133038243
-
dba Aveanna Hospice of Gadsden
- Community Based Hospice Care Agency
- Gadsden, AL
- NPI 1528007044
9133038243
-
dba Aveanna Hospice of Andalusia
- Community Based Hospice Care Agency
- Andalusia, AL
- NPI 1649235706
9133038243
-
dba Aveanna Hospice of Greenville
- Community Based Hospice Care Agency
- Greenville, AL
- NPI 1669438180
9133038243
-
dba Aveanna Hospice of Montgomery
- Community Based Hospice Care Agency
- Montgomery, AL
- NPI 1710926159
9133038243
-
dba Aveanna Hospice of Pell City
- Community Based Hospice Care Agency
- Pell City, AL
- NPI 1730144890
9133038243
Care Compare: Hospice
Medicare Care Compare- Listed as
- Aveanna Hospice of Pelham
- Ownership
- Other
- Certified
- Oct 16, 2003
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2203345 | Comfort Care Hospice, LLC | Certificate of waiver | Dec 2, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Comfort Care Hospice LLC
Other organizations with this tax ID 9
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Aveanna Hospice of Demopolis
- Community Based Hospice Care Agency
- Demopolis, AL
- NPI 1104881366
-
dba Aveanna Hospice of Cullman
- Community Based Hospice Care Agency
- Cullman, AL
- NPI 1154354637
-
dba Aveanna Hospice of Decatur
- Community Based Hospice Care Agency
- Decatur, AL
- NPI 1285673681
-
dba Aveanna Hospice of Scottsboro
- Community Based Hospice Care Agency
- Scottsboro, AL
- NPI 1457384844
-
dba Aveanna Hospice of Gadsden
- Community Based Hospice Care Agency
- Gadsden, AL
- NPI 1528007044
-
dba Aveanna Hospice of Andalusia
- Community Based Hospice Care Agency
- Andalusia, AL
- NPI 1649235706
-
dba Aveanna Hospice of Greenville
- Community Based Hospice Care Agency
- Greenville, AL
- NPI 1669438180
-
dba Aveanna Hospice of Montgomery
- Community Based Hospice Care Agency
- Montgomery, AL
- NPI 1710926159
-
dba Aveanna Hospice of Pell City
- Community Based Hospice Care Agency
- Pell City, AL
- NPI 1730144890
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.
| Name | Role | Since | Share |
|---|---|---|---|
| J.H. Whitney VII LP | 5% Or Greater Indirect Ownership Interest | Dec 10, 2021 | 16.36% |
| Psa Healthcare Investment Holding LLC | 5% Or Greater Indirect Ownership Interest | Dec 10, 2021 | 8.17% |
| Aveanna Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Dec 10, 2021 | 100% |
| Aveanna Healthcare Intermediate Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 10, 2021 | 100% |
| Aveanna Healthcare Holdings Inc | 5% Or Greater Indirect Ownership Interest | Dec 10, 2021 | 100% |
| Nut Tree Master Fund LP | 5% Or Greater Indirect Ownership Interest | Dec 31, 2023 | 6.43% |
| Matthew Buckhalter | Corporate Officer | Jul 7, 2023 | |
| Corporate Director | Jul 7, 2023 | ||
| Bcip Associates IV US L.P. | 5% Or Greater Indirect Ownership Interest | Dec 10, 2021 | 5.43% |
| Hamilton Lane Co-Investment Fund III Holdings - 2 LP | 5% Or Greater Indirect Ownership Interest | Dec 10, 2021 | 7.62% |
| Deborah Stewart | Corporate Director | Jul 7, 2023 | |
| Bain Capital Fund XI LP | 5% Or Greater Indirect Ownership Interest | Dec 10, 2021 | 36.04% |
| Frantzcy Ceneus | W-2 Managing Employee | Mar 29, 2024 | |
| Jerrold Perchik | Corporate Officer | Apr 29, 2024 | |
| Aveanna Healthcare Senior Services LLC | 5% Or Greater Direct Ownership Interest | Dec 10, 2021 | 100% |
| Bcpe Eagle Investor, L.P. | 5% Or Greater Indirect Ownership Interest | Dec 10, 2021 | 42.42% |
| Jessica Leigh Tucker | W-2 Managing Employee | Nov 26, 2023 | |
| Jeffrey Shaner | Corporate Officer | Dec 10, 2021 | |
| Corporate Director | Jan 1, 2023 | ||
| Pea Washington Holdings, LP | 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.
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1992950158
W-2 Managing Employee
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Aveanna Hospice of Fairhope | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Nov 17, 2015 |
| Aveanna Hospice | 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.
-
dba Aveanna Hospice of Fairhope
- Community Based Hospice Care Agency
- Fairhope, AL
- NPI 1205209509
5% Or Greater Direct Ownership Interest
-
dba Aveanna Hospice
- Community Based Hospice Care Agency
- Springfield, TN
- NPI 1609439991
5% Or Greater Direct Ownership Interest
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
- Foley, AL
- NPI 1740653047
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
-
dba Aveanna Hospice of Fairhope
- Community Based Hospice Care Agency
- Fairhope, AL
- NPI 1205209509
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
-
dba Aveanna Home Health
- Home Health Agency
- Huntsville, AL
- NPI 1992230601
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
-
dba Aveanna Home Health
- Home Health Agency
- Gadsden, AL
- NPI 1114451846
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
-
dba Aveanna Home Health
- Home Health Agency
- Livingston, AL
- NPI 1225513278
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
-
dba Aveanna Home Health
- Home Health Agency
- Athens, AL
- NPI 1659078236
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
-
dba Aveanna Home Health
- Home Health Agency
- Hoover, AL
- NPI 1851350334
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
-
dba Aveanna Hospice of Demopolis
- Community Based Hospice Care Agency
- Demopolis, AL
- NPI 1104881366
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
-
dba Aveanna Hospice of Cullman
- Community Based Hospice Care Agency
- Cullman, AL
- NPI 1154354637
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
-
dba Aveanna Hospice of Decatur
- Community Based Hospice Care Agency
- Decatur, AL
- NPI 1285673681
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
-
dba Aveanna Hospice of Scottsboro
- Community Based Hospice Care Agency
- Scottsboro, AL
- NPI 1457384844
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
-
dba Aveanna Hospice of Gadsden
- Community Based Hospice Care Agency
- Gadsden, AL
- NPI 1528007044
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
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.
-
- Nurse Practitioner
- Hoover, AL
- NPI 1528711223
-
- Nurse Practitioner
- Birmingham, AL
- NPI 1326285347
-
- Family Medicine Physician
- Moulton, AL
- NPI 1154472355
-
- Internal Medicine Physician
- Birmingham, AL
- NPI 1669979985
-
- Family Medicine Physician
- Muscle Shoals, AL
- NPI 1174185060
-
- Family Medicine Physician
- Birmingham, AL
- NPI 1740210244
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
- Sandra Owen Coker, OT/L
- Ashley Morgan Colburn, PHARM D
- Brandi Traywick Cole, M.S., CCC-SLP
- Lisa Marie Colligan, MS CCC-SLP
- Karen J Collins, MTBC
- Comfort Dental Care of Pelham LLC
- Jared Commander
- Community of Hope Health Clinic- a Volunteers in Medicine Clinic
- Compassion Counseling, LLC
- Complete Family Pastoral Counseling, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.