NPIMap

Organization Active NPI

Recover Health of Minnesota, Inc.

Doing business as Aveanna Healthcare

  • Nursing Care Agency
  • Edina, MN
National Provider Identifier
1386310696
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
RECOVER HEALTH OF MINNESOTA, INC.
Doing business as
Aveanna Healthcare
Practice address
8000 W 78TH St Ste 330
Edina, MN 55439-2576
Phone
(612) 249-7900
Fax
(612) 643-9757
NPI assigned
Aug 17, 2021
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

8000 W 78TH St Ste 330
Edina, MN 55439-2576

Mailing address

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

Other practice location 1

22 Wilson Ave NE Ste 26
Saint Cloud, MN 56304-0403
Phone (320) 774-0770

Other names 1

  • Aveanna Healthcare Doing business as

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
24D2241412Recover Health of Minnesota, Inc8000 W 78TH St, Suite 330, Edina, MN 55439Certificate of waiverOct 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Aveanna Home Health6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

8000 W 78th St
Ste 330
Edina, MN 55439
Phone (612) 249-7900

5900 Green Oak Dr
Ste 201
Minnetonka, MN 55343

22 Wilson Ave NE
Ste 26
Saint Cloud, MN 56304
Phone (320) 774-0770

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1386310696",
    "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": "8000 W 78TH ST STE 330",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392576",
            "telephone_number": "612-249-7900",
            "fax_number": "612-643-9757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Wilson Ave NE Ste 26",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563040403",
            "country_code": "US",
            "telephone_number": "320-774-0770",
            "fax_number": "320-640-2660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RECOVER HEALTH OF MINNESOTA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "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": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aveanna Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aveanna Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.