Active NPI
Recover Health of Wisconsin, Inc.
Doing business as Aveanna Home Health
- Home Health Agency
- Madison, WI
On this page
- Key facts
- NPPES NPI Registry
- Medicare participation
- Care Compare: Home health agency
- Care Compare: Home health agency
- Care Compare: Home health agency
- Laboratory certificates & supplier records
- National Provider Directory
- Ownership & related parties
- Practitioners & affiliated clinicians
- NPI Registry JSON
- Other providers in Madison, WI
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41534400 | Medicaid | WI | |
| 100066025 | Medicaid | WI | |
| 100066021 | Medicaid | WI |
Other names 1
- Aveanna Home Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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
- Corporation
- 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
- Corporation
- 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).
-
dba Aveanna Home Health
- Home Health Agency
- Waupaca, WI
- NPI 1669479960
2062321144
-
dba Aveanna Home Health
- Home Health Agency
- Brookfield, WI
- NPI 1710967104
2062321144
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Aveanna Home Health
- Overall star rating
- Ownership
- Proprietary
- Certified
- Aug 29, 1984
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Aveanna Home Health
- Overall star rating
- Ownership
- Proprietary
- Certified
- May 11, 2018
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Aveanna Home Health
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jul 9, 2018
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0886706 | Aveanna Home Health | Certificate of waiver | May 25, 2028 |
| 52D2129682 | Aveanna Home Health | Certificate of waiver | Apr 23, 2027 |
| 52D2129684 | Aveanna Home Health | Certificate of waiver | Apr 23, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| J.H. Whitney VII LP | 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 | 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 | 5% Or Greater Indirect Ownership Interest | Dec 20, 2020 | 100% |
| Kelsey Abel | W-2 Managing Employee | Jan 11, 2017 | |
| Aveanna Healthcare Holdings Inc | 5% Or Greater Indirect Ownership Interest | Dec 20, 2020 | 100% |
| Nut Tree Master Fund LP | 5% Or Greater Indirect Ownership Interest | Dec 31, 2023 | 6.43% |
| 5% Or Greater Indirect Ownership Interest | Dec 31, 2023 | 6.34% | |
| Matthew Buckhalter | Corporate Officer | Jul 7, 2023 | |
| Corporate Director | Jul 7, 2023 | ||
| Bcip Associates IV US L.P. | 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 | 5% Or Greater Indirect Ownership Interest | Dec 20, 2020 | 7.62% |
| 5% Or Greater Indirect Ownership Interest | Dec 20, 2020 | 7.5% | |
| Deborah Stewart | Corporate Director | Jul 7, 2023 | |
| Bain Capital Fund XI LP | 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 | Operational/Managerial Control | Jun 16, 2009 | |
| Operational/Managerial Control | Jun 16, 2016 | ||
| Jerrold Perchik | Corporate Officer | Apr 29, 2024 | |
| Aveanna Healthcare Senior Services LLC | 5% Or Greater Indirect Ownership Interest | Dec 20, 2020 | 100% |
| Bcpe Eagle Investor, L.P. | 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 | 5% Or Greater Indirect Ownership Interest | Dec 20, 2020 | 100% |
| Recover Health Inc | 5% Or Greater Direct Ownership Interest | Jun 16, 2009 | 100% |
| Jeffrey Shaner | Corporate Officer | Dec 20, 2020 | |
| Corporate Director | Jan 1, 2023 | ||
| Pea Washington Holdings, LP | 5% Or Greater Indirect Ownership Interest | Apr 29, 2021 | 5.54% |
| 5% Or Greater Indirect Ownership Interest | Apr 29, 2021 | 5.45% | |
| Heather Gehrke | W-2 Managing Employee | Mar 21, 2021 | |
| Aveanna Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Dec 20, 2020 | 100% |
| Terri Boardman | W-2 Managing Employee | Sep 16, 2024 |
Facilities with the same owner 122
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Aveanna Home Health
- Home Health Agency
- Waupaca, WI
- NPI 1669479960
Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare Senior Services LLC, Aveanna Healthcare, LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investm
-
dba Aveanna Home Health
- Home Health Agency
- Brookfield, WI
- NPI 1710967104
Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare Senior Services LLC, Aveanna Healthcare, LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investm
-
dba Aveanna Home Health
- 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., Hamilton Lane Co-Investme
-
dba Aveanna Home Health
- 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., Hamilton Lane Co-Investme
-
dba Aveanna Healthcare
- 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
-
dba Aveanna Healthcare
- 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
-
dba Aveanna Healthcare
- 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
-
dba Aveanna Healthcare
- 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
-
dba Aveanna Healthcare
- Home Health Agency
- Springfield, MA
- NPI 1881833259
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
-
dba Aveanna Home Health
- Home Health Agency
- West Pittston, PA
- NPI 1376762237
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., Hamilton Lane Co-Investme
-
dba Aveanna Healthcare
- Home Health Agency
- Du Bois, PA
- NPI 1811279540
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
-
dba Aveanna Healthcare
- Home Health Agency
- Wexford, PA
- NPI 1407809114
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
Practitioners & affiliated clinicians
Affiliated clinicians 160
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- La Crosse, WI
- NPI 1629395355
Home health agency
-
- Family Nurse Practitioner
- Friendship, WI
- NPI 1104374867
Home health agency
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
- 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 enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.