Organization Active NPI

Recover Health of Wisconsin, Inc.

Doing business as Aveanna Home Health

  • Home Health Agency
  • Madison, WI
National Provider Identifier
1568469070
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RECOVER HEALTH OF WISCONSIN, INC.
Doing business as
Aveanna Home Health
Practice address
660 W Washington Ave Ste 309
Madison, WI 53703-4703
Phone
(608) 274-8193
Fax
(608) 274-8717
NPI assigned
Jun 30, 2005
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

660 W Washington Ave Ste 309
Madison, WI 53703-4703

Mailing address

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

Other practice location 1

840 State Road 136 Ste 4
Baraboo, WI 53913-9252
Phone (608) 356-7570

Other practice location 2

2600 State Rd
LA Crosse, WI 54601-6157
Phone (608) 406-3140

Other identifiers 3

IdentifierTypeStateIssuer
41534400MedicaidWI
100066025MedicaidWI
100066021MedicaidWI

Other names 1

  • Aveanna Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20030402000004 WI Part A Provider - Home Health Agency 2062321144 Practice locations: Madison, WI
O20170213000124 WI Part A Provider - Home Health Agency 2062321144 Practice locations: Baraboo, WI
O20170213000251 WI Part A Provider - Home Health Agency 2062321144 Practice locations: La Crosse, WI

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1568469070. Details of each certification follow.

Home health agency certification: CCN 527135

Legal name
RECOVER HEALTH OF WISCONSIN INC
Doing business as
AVEANNA HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 29, 1984
Last certification
Dec 10, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 29, 1984 in WI
Enrollment address
660 W Washington Ave
Ste 309
Madison, WI 53703-4703

Home health agency certification: CCN 527332

Legal name
RECOVER HEALTH OF WISCONSIN INC
Doing business as
AVEANNA HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 11, 2018
Last certification
May 11, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 29, 1984 in WI
Enrollment address
840 State Road 136
Ste 4
Baraboo, WI 53913-9252

Home health agency certification: CCN 527336

Legal name
RECOVER HEALTH OF WISCONSIN INC
Doing business as
AVEANNA HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 9, 2018
Last certification
Jul 9, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 29, 1984 in WI
Enrollment address
2600 State Rd
La Crosse, WI 54601-6157

Other NPIs with the same Medicare PAC ID 2

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 527135 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Aug 29, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Care Compare: Home health agency

Medicare Care Compare
Listed as
Aveanna Home HealthCCN 527332 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
May 11, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Care Compare: Home health agency

Medicare Care Compare
Listed as
Aveanna Home HealthCCN 527336 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Jul 9, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
52D0886706Aveanna Home Health660 West Washington Avenue,, Madison, WI 53703Certificate of waiverMay 25, 2028
52D2129682Aveanna Home Health2600 State Rd, La Crosse, WI 54601Certificate of waiverApr 23, 2027
52D2129684Aveanna Home Health840 State Road 136, Ste 4, Baraboo, WI 53913Certificate of waiverApr 23, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 22

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 Dec 20, 2020 16.36%
5% Or Greater Indirect Ownership Interest Dec 20, 2020 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 Dec 20, 2020 8.17%
5% Or Greater Indirect Ownership Interest Dec 20, 2020 8.04%
Aveanna Healthcare Intermediate Holdings LLC Organization, Atlanta, GA LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 20, 2020 100%
Kelsey Abel Individual W-2 Managing EmployeeAd; Jan 11, 2017
Aveanna Healthcare Holdings Inc Organization, Atlanta, GA Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 20, 2020 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 6.43%
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 Dec 20, 2020 5.43%
5% Or Greater Indirect Ownership Interest Dec 20, 2020 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 Dec 20, 2020 7.62%
5% Or Greater Indirect Ownership Interest Dec 20, 2020 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 Dec 20, 2020 36.04%
5% Or Greater Indirect Ownership Interest Dec 20, 2020 35.54%
Recover Health Services LLC Organization, Atlanta, GA LLC, Chain home office Operational/Managerial Control Jun 16, 2009
Operational/Managerial Control Jun 16, 2016
Jerrold Perchik Individual Corporate OfficerSecretary Apr 29, 2024
Aveanna Healthcare Senior Services LLC Organization, Atlanta, GA LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 20, 2020 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 42.42%
5% Or Greater Indirect Ownership Interest Apr 29, 2021 41.83%
Aveanna Healthcare, LLC Organization, Atlanta, GA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 20, 2020 100%
Recover Health Inc Organization, Atlanta, GA Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 16, 2009 100%
Jeffrey Shaner Individual Corporate OfficerCeo Dec 20, 2020
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 5.54%
5% Or Greater Indirect Ownership Interest Apr 29, 2021 5.45%
Heather Gehrke Individual W-2 Managing EmployeeAd; Mar 21, 2021
Aveanna Healthcare LLC Organization, Atlanta, GA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 20, 2020 100%
Terri Boardman Individual W-2 Managing EmployeeAd; Sep 16, 2024

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

Affiliated clinicians 160

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 160

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1568469070",
    "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": "660 W WASHINGTON AVE STE 309",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537034703",
            "telephone_number": "608-274-8193",
            "fax_number": "608-274-8717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 State Road 136 Ste 4",
            "address_purpose": "LOCATION",
            "city": "Baraboo",
            "state": "WI",
            "postal_code": "539139252",
            "country_code": "US",
            "telephone_number": "608-356-7570",
            "fax_number": "608-356-2629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 State Rd",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546016157",
            "country_code": "US",
            "telephone_number": "608-406-3140",
            "fax_number": "608-406-3141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RECOVER HEALTH OF WISCONSIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41534400",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100066025",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100066021",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aveanna Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.