Organization Active NPI

5 Star Home Health Services, LLC

Doing business as Aveanna Home Health

  • Home Health Agency
  • Orlando, FL
National Provider Identifier
1376584730
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299992117 Issued in FL
Legal business name
5 STAR HOME HEALTH SERVICES, LLC
Doing business as
Aveanna Home Health
Practice address
1603 S Hiawassee Rd Ste 130
Orlando, FL 32835-6439
Phone
(407) 296-2610
Fax
(407) 296-2608
NPI assigned
Jun 9, 2006
Last updated
Jan 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 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 299992117 FL Primary

Addresses

Primary practice location

1603 S Hiawassee Rd Ste 130
Orlando, FL 32835-6439

Mailing address

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

Other names 1

  • Aveanna Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050509000862 FL Part A Provider - Home Health Agency 2264472208 Practice locations: Orlando, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376584730. Details of each certification follow.

Home health agency certification: CCN 108195

Legal name
5 STAR HOME HEALTH SERVICES LLC
Doing business as
AVEANNA HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 1, 2005
Last certification
May 5, 2017
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Apr 9, 2021 in FL
Enrollment address
5979 Vineland Rd
Ste 315
Orlando, FL 32819-7856

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Aveanna Home HealthCCN 108195 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Sep 1, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
5 Star Home Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4740 NW 39th Pl
Unit A
Gainesville, FL 32606
Phone (352) 331-3280

5800 NW 39th Ave
Ste 104
Gainesville, FL 32606
Phone (352) 331-3280

7515 SW 24th Ave
Gainesville, FL 32607
Phone (352) 243-0025

506 S Highway 27
Ste H
Minneola, FL 34715
Phone (352) 243-0025

7041 Grand National Dr
Ste 109
Orlando, FL 32819
Phone (407) 264-0081

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 For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 16, 2021 16.67%
Psa Healthcare Investment Holding LLC Organization, New Canaan, CT LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 16, 2021 8.33%
Aveanna Healthcare LLC Organization, Atlanta, GA LLC, Holding company 5% Or Greater Indirect Ownership Interest Apr 16, 2021 100%
Other Jan 1, 2022
Aveanna Healthcare Intermediate Holdings LLC Organization, Atlanta, GA LLC, Holding company 5% Or Greater Indirect Ownership Interest Apr 16, 2021 100%
Joyce Felix Individual W-2 Managing EmployeeAdministrator Oct 9, 2023
Aveanna Healthcare Holdings Inc Organization, Atlanta, GA Corporation, Holding company 5% Or Greater Indirect Ownership Interest Apr 16, 2021 100%
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 Apr 16, 2021 5.53%
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 Apr 16, 2021 7.76%
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 Apr 16, 2021 36.71%
Shannon L Drake Individual Corporate OfficerChief Legal Officer Apr 16, 2021
Doctor's Choice Holdings, Inc Organization, Atlanta, GA LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 14, 2021 100%
Aveanna Healthcare Senior Services LLC Organization, Atlanta, GA LLC 5% Or Greater Indirect Ownership Interest Apr 16, 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 Apr 29, 2021 43.21%
Jeffrey Shaner Individual Corporate OfficerCeo Apr 16, 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 Apr 29, 2021 5.65%

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 10

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": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1376584730",
    "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": "1603 S HIAWASSEE RD STE 130",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356439",
            "telephone_number": "407-296-2610",
            "fax_number": "407-296-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5 STAR HOME HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "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": "299992117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aveanna Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.