Organization Active NPI

Loving Care Agency, Inc.

Doing business as Aveanna Healthcare

  • Home Health Agency
  • Merrillville, IN
National Provider Identifier
1417196858
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LOVING CARE AGENCY, INC.
Doing business as
Aveanna Healthcare
Practice address
8585 Broadway Ste 700
Merrillville, IN 46410-5662
Phone
(219) 548-0099
Fax
(219) 548-0024
NPI assigned
Feb 9, 2009
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8585 Broadway Ste 700
Merrillville, IN 46410-5662

Mailing address

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

Other names 1

  • AVEANNA HEALTHCARE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221212003177 IN Part A Provider - Home Health Agency 0042128266 Practice locations: Merrillville, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417196858. Details of each certification follow.

Home health agency certification: CCN 157723

Legal name
LOVING CARE AGENCY, INC.
Doing business as
AVEANNA HEALTHCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 1, 2022
Last certification
Oct 21, 2022
Organization structure
CorporationProprietary
Incorporated
Dec 7, 1993 in NJ
Enrollment address
8585 Broadway
Ste 700
Merrillville, IN 46410-5662

Other NPIs with the same Medicare PAC ID 6

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 HealthcareCCN 157723 · All quality measures
Ownership
-
Certified
Apr 1, 2022
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
15D1093497Loving Care Agency, Inc D/B/a Aveanna Healthcare8585 Broadway Suite 700, Merrillville, IN 46410Certificate of waiverDec 18, 2026

National Provider Directory

National Provider Directory

Locations

1115 Elkton Dr
Ste 401403
Colorado Springs, CO 80907
Phone (719) 548-5052

2400 E Devon Ave
Ste 256
Des Plaines, IL 60018
Phone (847) 298-0859

220 Insurance Dr
Ste C
Fort Wayne, IN 46825
Phone (260) 969-0100

2600 Roosevelt Rd
Ste 200-1
Valparaiso, IN 46383
Phone (219) 548-0099

3206 Cascade Dr
Ste Ab
Valparaiso, IN 46383
Phone (219) 548-0099

121 N Cedar Crest Blvd
Allentown, PA 18104
Phone (484) 273-2440

5000 W Tilghman St
Ste 157
Allentown, PA 18104
Phone (610) 391-2300

241 N Cedar Crest Blvd
Allentown, PA 18104
Phone (610) 532-7403

225 E City Ave
Ste 103
Bala Cynwyd, PA 19004
Phone (610) 668-3333

132 Kline Vlg
Harrisburg, PA 17104
Phone (610) 668-3333

4 Neshaminy Interplex Dr
Ste 204
Trevose, PA 19053
Phone (267) 520-3301

Ownership & related parties

All disclosed owners & managing parties 19

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 Mar 16, 2017 16.09%
Psa Healthcare Investment Holding LLC Organization, New Canaan, CT LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 16, 2017 8.04%
Aveanna Healthcare LLC Organization, Atlanta, GA Created for acquisition, LLC, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 16, 2017 100%
Aveanna Healthcare Intermediate Holdings LLC Organization, Atlanta, GA Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 16, 2017 100%
Aveanna Healthcare Holdings Inc Organization, Atlanta, GA Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 16, 2017 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 6.34%
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 Mar 16, 2017 5.35%
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 Mar 16, 2017 7.5%
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 Mar 16, 2017 35.54%
Lca Holding, Inc Organization, Atlanta, GA Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 28, 2010 100%
Jerrold Perchik Individual Corporate OfficerSecretary Apr 29, 2024
Epic Health Services, Inc. Organization, Atlanta, GA Corporation, Medical provider/supplier, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 17, 2015 100%
Nannette Phillips Individual W-2 Managing EmployeeAd; Aug 1, 2025
Epic Acquisition, Inc. Organization, Atlanta, GA Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 17, 2015 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 41.83%
Jeffrey Shaner Individual Corporate OfficerCeo Mar 16, 2017
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 5.45%

Facilities with the same owner 122

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 122

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1417196858",
    "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": "8585 BROADWAY STE 700",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105662",
            "telephone_number": "219-548-0099",
            "fax_number": "219-548-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVING CARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVEANNA HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.