NPIMap

Organization Active NPI

Simone Health Care LLC

  • Home Health Agency
  • Palm Harbor, FL
National Provider Identifier
1477853448
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
L100005708 Issued in FL
Legal business name
SIMONE HEALTH CARE LLC
Practice address
34650 US Highway 19 N Ste 301
Palm Harbor, FL 34684-2157
Phone
(727) 623-4852
Fax
(727) 827-2988
NPI assigned
Oct 25, 2010
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X L100005708 FL Primary

Addresses

Primary practice location

34650 US Highway 19 N Ste 301
Palm Harbor, FL 34684-2157

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
O20120515000137 FL Part A Provider - Home Health Agency 1153584966 Practice locations: Palm Harbor, FL

Home health agency certification: CCN 103170

Legal name
SIMONE HEALTH CARE, LLC
Doing business as
AVEANNA HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 28, 2013
Last certification
Sep 5, 2014
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Oct 4, 2010 in FL
Enrollment address
34650 US Highway 19 N
Ste 301
Palm Harbor, FL 34684-2157
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Aveanna Home HealthCCN 103170
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jan 28, 2013
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
10D2020559Simone Health Care LLC34650 US Hwy 19 N Ste 301, Palm Harbor, FL 34684Certificate of waiverFeb 22, 2027

National Provider Directory

National Provider Directory

Locations

11380 66th St
Ste 138
Largo, FL 33773
Phone (727) 498-8339

34650 US Highway 19 N
Ste 301
Palm Harbor, FL 34684
Phone (727) 623-4852

35111 US Highway 19 N
Ste 302
Palm Harbor, FL 34684

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 Apr 16, 2021 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 Apr 16, 2021 8.04%
Aveanna Healthcare LLC Organization, Atlanta, GA LLC, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 16, 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 Apr 16, 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 Apr 16, 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 6.34%
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 Apr 16, 2021 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 Apr 16, 2021 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 Apr 16, 2021 35.54%
Kathy Iacovino Individual W-2 Managing EmployeeAdministrator Aug 22, 2022
Jerrold Perchik Individual Corporate OfficerSecretary Apr 29, 2024
Doctor'S Choice Holdings, Inc Organization, Atlanta, GA LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 9, 2021 100%
Aveanna Healthcare Senior Services LLC Organization, Atlanta, GA LLC, Holding company, Owned by another organization or individual 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 41.83%
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 5.45%

Facilities with the same owner 122

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

  • 5 Star Home Health Services, LLC
    • Home Health Agency
    • Orlando, FL
    • NPI 1376584730

    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., Doctor'S Choice Holdings,

    CMS ownership
  • 5 Star Home Health Services, LLC
    • Home Health Agency
    • Gainesville, FL
    • NPI 1518182773

    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., Doctor'S Choice Holdings,

    CMS ownership
  • Doctor'S Choice Home Care, LLC
    • Home Health Agency
    • Bradenton, FL
    • NPI 1104082932

    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., Doctor'S Choice Holdings,

    CMS ownership
  • Doctor'S Choice Home Care, LLC
    • Home Health Agency
    • Sarasota, FL
    • NPI 1205051497

    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., Doctor'S Choice Holdings,

    CMS ownership
  • Florida Homecare Specialists of Citrus LLC
    • Home Health Agency
    • Brooksville, FL
    • NPI 1639313760

    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., Doctor'S Choice Holdings,

    CMS ownership
  • Nursing Plus, LLC
    • Home Health Agency
    • Doral, FL
    • NPI 1992744882

    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., Doctor'S Choice Holdings,

    CMS ownership
  • Saving Lives Home Health Agency, LLC
    • Home Health Agency
    • Stuart, FL
    • NPI 1710246780

    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., Doctor'S Choice Holdings,

    CMS ownership
  • Timeless Home Care LLC
    • Home Health Agency
    • Fort Lauderdale, FL
    • NPI 1316112212

    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., Doctor'S Choice Holdings,

    CMS ownership
  • Andventure, LLC
    • Home Health Agency
    • Chambersburg, PA
    • NPI 1013150275

    Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne

    CMS ownership
  • Andventure, LLC
    • Home Health Agency
    • Phoenix, AZ
    • NPI 1013156470

    Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne

    CMS ownership
  • Andventure, LLC
    • Home Health Agency
    • Lancaster, PA
    • NPI 1093788002

    Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne

    CMS ownership
  • Andventure, LLC
    • Home Health Agency
    • State College, PA
    • NPI 1760621122

    Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne

    CMS ownership
View all 122

Practitioners & affiliated clinicians

Affiliated clinicians 9

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": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1477853448",
    "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": "34650 US HIGHWAY 19 N STE 301",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842157",
            "telephone_number": "727-623-4852",
            "fax_number": "727-827-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMONE HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "L100005708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVEANNA HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.