Andventure, LLC
Organization Active NPI Home Health Agency · State College, PA
NPI 1760621122 · NPPES record last updated Jan 27, 2025
Key facts
- NPI
- 1760621122
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- ANDVENTURE, LLC
- Practice address
- 1631 S Atherton St Ste 201
State College, PA 16801-6229 - Phone
- (814) 235-9583
- NPI assigned
- Feb 9, 2009
- Organization subpart
- No
Authorized official
- Name
- Matthew Buckhalter
- Title
- Cfo
- Phone
- (470) 464-8000
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 6
Facilities with the same owner 122
Medicare Care Compare: Home health agency
- Listed as
- Aveanna Healthcare
- Ownership
- Proprietary
- Certified
- Nov 15, 2001
- Medicare certification status
- Active
- Services
- Nursing, Home health aide
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D1099928 | Andventure, LLC Dba Aveanna Healthcare | Certificate of waiver | May 26, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Home health agency certification: CCN 397756
- Legal name
- ANDVENTURE, LLC
- Doing business as
- AVEANNA HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 15, 2001
- Last certification
- Feb 18, 2016
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Incorporated
- Dec 31, 2020 in PA
- Enrollment address
- 1631 S Atherton St
Ste 201
State College, PA 16801-6229
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| J.H. Whitney VII LP |
5% Or Greater Indirect Ownership Interest | Mar 16, 2017 | 16.09% |
| Psa Healthcare Investment Holding LLC |
5% Or Greater Indirect Ownership Interest | Mar 16, 2017 | 8.04% |
| Aveanna Healthcare LLC |
5% Or Greater Direct Ownership Interest | Dec 31, 2020 | 100% |
| Aveanna Healthcare Intermediate Holdings LLC |
5% Or Greater Indirect Ownership Interest | Mar 16, 2017 | 100% |
| Aveanna Healthcare Holdings Inc |
5% Or Greater Indirect Ownership Interest | Mar 16, 2017 | 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 | Mar 16, 2017 | 5.35% |
| Kelsey Gulish |
W-2 Managing Employee |
Aug 10, 2021 | |
| Hamilton Lane Co-Investment Fund III Holdings - 2 LP |
5% Or Greater Indirect Ownership Interest | Mar 16, 2017 | 7.5% |
| Deborah Stewart |
Corporate Director |
Jul 7, 2023 | |
| Bain Capital Fund XI LP |
5% Or Greater Indirect Ownership Interest | Mar 16, 2017 | 35.54% |
| Jerrold Perchik |
Corporate Officer |
Apr 29, 2024 | |
| Bcpe Eagle Investor, L.P. |
5% Or Greater Indirect Ownership Interest | Apr 29, 2021 | 41.83% |
| Jeffrey Shaner |
Corporate Officer |
Mar 16, 2017 | |
| Corporate Director |
Jan 1, 2023 | ||
| Pea Washington Holdings, LP |
5% Or Greater Indirect Ownership Interest | Apr 29, 2021 | 5.45% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090326000135 | PA | Part a Provider - Home Health Agency | 6406764042 | Practice locations: State College, PA |
National Provider Directory
- Tax ID family
- Andventure LLC
Locations
1631 S Atherton St
Ste 201
State College, PA 16801
Phone (814) 235-9583
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
1631 S Atherton St Ste 201
State College, PA 16801-6229
Mailing address
400 Interstate North Pkwy SE Ste 1600
Atlanta, GA 30339-5047
Phone (470) 464-8000
Other names
- Aveanna Healthcare
Other providers in State College, PA
- Carol Baggot Anderson
- Daniel J Anderson
- Kevin J Anderson
- Jocelyn Lee Anderton
- Kimberly Ann Andres
- Julie A Angstadt
- Casey Reade Antholz
- Christin Nikol Antoniono
- Dylan Appleman
- Erinolaoluwa Funmibi Araoye
All providers in State College, PA · Home Health Agency in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 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.