Active NPI
Comfort Care Coastal Home Health, LLC
Doing business as Aveanna Home Health
- Home Health Agency
- Foley, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- COMFORT CARE COASTAL HOME HEALTH, LLC
- Doing business as
- Aveanna Home Health
- Practice address
- 1390 N McKenzie St
Foley, AL 36535-2232 - Phone
- (251) 621-4431
- Fax
- (251) 621-4896
- NPI assigned
- Nov 9, 2015
- Last updated
- Jan 27, 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 | Primary |
Addresses
Primary practice location
1390 N McKenzie St
Foley, AL 36535-2232
Mailing address
400 Interstate North Pkwy SE Ste 1600
Atlanta, GA 30339-5047
Phone (470) 464-8000
Other practice location 1
3201 Dauphin St Ste E
Mobile, AL 36606-4057
Phone (205) 988-9620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MER7034A | Medicaid | AL |
Other names 1
- AVEANNA HOME HEALTH
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160127001679 | AL | Part A Provider - Home Health Agency | 0547563447 | Practice locations: Foley, AL; Mobile, AL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1740653047. Details of each certification follow.
Home health agency certification: CCN 017034
- Legal name
- COMFORT CARE COASTAL HOME HEALTH, LLC
- Doing business as
- AVEANNA HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 26, 1981
- Last certification
- Jun 25, 2021
- Ownership / control type
- Non-Profit
- Organization structure
- LLC
- Enrollment address
- 1390 N McKenzie St
Foley, AL 36535-2232
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Aveanna Home Health
- Overall star rating
- Ownership
- Non-Profit
- Certified
- May 26, 1981
- Medicare certification status
- Active
- Services
- Nursing, Medical social, 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 |
|---|---|---|---|
| 01D2047714 | Comfort Care Coastal Home Health, LLC | Certificate of waiver | Oct 1, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Aveanna Home Health
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Fairhope, AL
- NPI 1073064234
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Aveanna Home Health
- Home Health Agency
- Athens, AL
- NPI 1659078236
Member Of
-
dba Aveanna Hospice of Cullman
- Community Based Hospice Care Agency
- Cullman, AL
- NPI 1154354637
Member Of
Locations
3201 Dauphin St
Ste E
Mobile, AL 36606
Phone (205) 988-9620
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.
| Name | Role | Since | Share |
|---|---|---|---|
| J.H. Whitney VII LP | 5% Or Greater Indirect Ownership Interest | Dec 10, 2021 | 16.09% |
| Psa Healthcare Investment Holding LLC | 5% Or Greater Indirect Ownership Interest | Dec 10, 2021 | 8.04% |
| Dana Zehner | W-2 Managing Employee | Jan 1, 2026 | |
| Aveanna Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Dec 10, 2021 | 100% |
| Aveanna Healthcare Intermediate Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 10, 2021 | 100% |
| Comfort Care Home Health Services LLC | 5% Or Greater Direct Ownership Interest | Nov 17, 2015 | 100% |
| Aveanna Healthcare Holdings Inc | 5% Or Greater Indirect Ownership Interest | Dec 10, 2021 | 100% |
| Nut Tree Master Fund LP | 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 10, 2021 | 5.35% |
| Hamilton Lane Co-Investment Fund III Holdings - 2 LP | 5% Or Greater Indirect Ownership Interest | Dec 10, 2021 | 7.5% |
| Deborah Stewart | Corporate Director | Jul 7, 2023 | |
| Bain Capital Fund XI LP | 5% Or Greater Indirect Ownership Interest | Dec 10, 2021 | 35.54% |
| Jerrold Perchik | Corporate Officer | Apr 29, 2024 | |
| Aveanna Healthcare Senior Services LLC | 5% Or Greater Indirect Ownership Interest | Dec 10, 2021 | 100% |
| Bcpe Eagle Investor, L.P. | 5% Or Greater Indirect Ownership Interest | Dec 10, 2021 | 41.83% |
| Jeffrey Shaner | Corporate Officer | Dec 10, 2021 | |
| Corporate Director | Jan 1, 2023 | ||
| Pea Washington Holdings, LP | 5% Or Greater Indirect Ownership Interest | Dec 10, 2021 | 5.45% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Aveanna Home Health
- Home Health Agency
- Athens, AL
- NPI 1659078236
5% Or Greater Direct Ownership Interest
-
dba Aveanna Home Health
- Home Health Agency
- Hoover, AL
- NPI 1851350334
5% Or Greater Direct Ownership Interest
Facilities with the same owner 122
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Aveanna Hospice of Fairhope
- Community Based Hospice Care Agency
- Fairhope, AL
- NPI 1205209509
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
- Huntsville, AL
- NPI 1992230601
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., Comfort Care Home Health
-
dba Aveanna Home Health
- Home Health Agency
- Gadsden, AL
- NPI 1114451846
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., Comfort Care Home Health
-
dba Aveanna Home Health
- Home Health Agency
- Livingston, AL
- NPI 1225513278
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., Comfort Care Home Health
-
dba Aveanna Home Health
- Home Health Agency
- Athens, AL
- NPI 1659078236
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
- Hoover, AL
- NPI 1851350334
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 Hospice of Demopolis
- Community Based Hospice Care Agency
- Demopolis, AL
- NPI 1104881366
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 Hospice of Cullman
- Community Based Hospice Care Agency
- Cullman, AL
- NPI 1154354637
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 Hospice of Decatur
- Community Based Hospice Care Agency
- Decatur, AL
- NPI 1285673681
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 Hospice of Gardendale
- Community Based Hospice Care Agency
- Pelham, AL
- NPI 1366407520
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 Hospice of Scottsboro
- Community Based Hospice Care Agency
- Scottsboro, AL
- NPI 1457384844
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 Hospice of Gadsden
- Community Based Hospice Care Agency
- Gadsden, AL
- NPI 1528007044
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
Practitioners & affiliated clinicians
Affiliated clinicians 30
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1205179504
Home health agency
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1326195694
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737936000000",
"number": "1740653047",
"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": "1390 N MCKENZIE ST",
"city": "FOLEY",
"state": "AL",
"postal_code": "365352232",
"telephone_number": "251-621-4431",
"fax_number": "251-621-4896"
}
],
"practiceLocations": [
{
"address_1": "3201 Dauphin St Ste E",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366064057",
"country_code": "US",
"telephone_number": "205-988-9620",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "COMFORT CARE COASTAL HOME HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-09",
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MER7034A",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AVEANNA HOME HEALTH",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Foley, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.