Recover Health of Minnesota, Inc.
Organization Active NPI Home Health Agency · Duluth, MN
NPI 1639627391 · NPPES record last updated Jan 28, 2025
Key facts
- NPI
- 1639627391
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- RECOVER HEALTH OF MINNESOTA, INC.
- Practice address
- 4602 Grand Ave Ste 800
Duluth, MN 55807-2797 - Phone
- (218) 733-3485
- NPI assigned
- Sep 12, 2016
- Organization subpart
- No
Authorized official
- Name
- Matthew Buckhalter
- Title
- Cfo
- Phone
- (470) 464-8000
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 5
Facilities with the same owner 122
Practitioners 1
-
Logan Randall Ecklund, PT, DPT
Affiliated clinicians 60
-
Kirsten I Bich, MD
-
Hannah Bjerkness, PA-C
-
Claire R Campbell, M.D.
-
Sitasravya Devathi, MBBS
-
Erika K Ehlers, APRN, CNP
-
Laura Anne Enright, CNP
-
Elisabeth Jane Gibbons, M.D.
-
Peter Alan Good, MD
-
Thomas James Heinitz, M.D.
-
Robert Alan Hoerr, M.D.
-
Kimberly Michele Hunt, ARNP
-
Paul Andrew Jones, M.D.
-
David O Jorde, MD
-
Kelly Marie Kleinschmidt, RN, CNP
-
Erin Louks Smith, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Aveanna Home Health
- Overall star rating
- ★★★★☆ 4 of 5
- Ownership
- Proprietary
- Certified
- May 18, 1994
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D0979223 | Aveanna Home Health | Certificate of waiver | Oct 16, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Home health agency certification: CCN 247029
- Legal name
- RECOVER HEALTH OF MINNESOTA INC
- Doing business as
- AVEANNA HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 18, 1994
- Last certification
- Jan 7, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Oct 7, 1988 in MN
- Enrollment address
- 4602 Grand Ave
Ste 800
Duluth, MN 55807-2797
All disclosed owners & managing parties 19
| Name | Role | Since | Share |
|---|---|---|---|
| J.H. Whitney VII LP |
5% Or Greater Indirect Ownership Interest | Dec 20, 2020 | 16.36% |
| Psa Healthcare Investment Holding LLC |
5% Or Greater Indirect Ownership Interest | Dec 20, 2020 | 8.17% |
| Aveanna Healthcare LLC |
5% Or Greater Indirect Ownership Interest | Dec 20, 2020 | 100% |
| Aveanna Healthcare Intermediate Holdings LLC |
5% Or Greater Indirect Ownership Interest | Dec 20, 2020 | 100% |
| 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% |
| 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% |
| Hamilton Lane Co-Investment Fund III Holdings - 2 LP |
5% Or Greater Indirect Ownership Interest | Dec 20, 2020 | 7.62% |
| Deborah Stewart |
Corporate Director |
Jul 7, 2023 | |
| Bain Capital Fund XI LP |
5% Or Greater Indirect Ownership Interest | Dec 20, 2020 | 36.04% |
| Recover Health Services LLC |
Operational/Managerial Control | May 1, 2016 | 100% |
| 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% |
| Heather Richards |
W-2 Managing Employee |
Dec 4, 2022 | |
| Recover Health Inc |
5% Or Greater Direct Ownership Interest | May 1, 2016 | 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% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160517000369 | MN | Part a Provider - Home Health Agency | 1153230230 | Practice locations: Duluth, MN |
National Provider Directory
- Tax ID family
- Aveanna Home Health
Locations
1210 Broadway St
Ste 250
Alexandria, MN 56308
Phone (320) 846-0002
1600 Broadway St
Alexandria, MN 56308
Phone (320) 762-6479
615 Anne St NW
Ste A
Bemidji, MN 56601
Phone (218) 210-7700
4609 Grand Ave
Duluth, MN 55807
Phone (218) 733-3485
4602 Grand Ave
Ste 800
Duluth, MN 55807
Phone (218) 733-3485
1005 Pebble Lake Rd
Ste 208
Fergus Falls, MN 56537
Phone (218) 321-2100
831 E Vasa Ave
Ste A
Fergus Falls, MN 56537
Phone (218) 321-2100
19 NE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-0004
2900 E Beltline
Ste 1
Hibbing, MN 55746
Phone (218) 262-5887
101 E Howard St
Hibbing, MN 55746
Phone (218) 262-5887
302 E Howard St
Ste 116
Hibbing, MN 55746
Phone (218) 262-5887
2900 E Beltline
Ste 9
Hibbing, MN 55746
Phone (218) 262-5887
6800 France Ave S
Ste 500
Minneapolis, MN 55435
Phone (952) 926-9808
300 11th Ave NW
Ste 201
Rochester, MN 55901
Phone (507) 282-2246
4131 26th St NW
Ste 3
Rochester, MN 55901
Phone (507) 282-2246
3400 1st St N
Ste 305
Saint Cloud, MN 56303
Phone (320) 774-0777
110 2nd St S
Ste 138
Waite Park, MN 56387
Phone (320) 259-7045
60 10th Ave S
Ste 60
Waite Park, MN 56387
Phone (320) 774-0777
53 E 3rd St
Ste 201
Winona, MN 55987
Phone (507) 454-5479
111 Riverfront
Ste 209
Winona, MN 55987
Phone (507) 494-8600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
4602 Grand Ave Ste 800
Duluth, MN 55807-2797
Mailing address
400 Interstate North Pkwy SE Ste 1600
Atlanta, GA 30339-5047
Phone (470) 464-8000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41530900 | Medicaid | WI | |
| 785345900 | Medicaid | MN |
Other names
- Aveanna Home Health
Other providers in Duluth, MN
- Anthony Scott Rayner
- Shawna Marie Reagan
- Miranda Lynn Rear
- Rebecca Leigh Wachsmuth
- Julia Michaela Record
- Recovery Alliance Duluth
- Nancy Rectenwald
- Red Velvet Dental LLC
- Kelsey L Redland-Kladivo
- Christine Blobe Redmann
All providers in Duluth, MN · Home Health Agency in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.