Willowbrook Hospice, Inc.
Organization Active NPI Community Based Hospice Care Agency · Franklin, TN
NPI 1790782027 · NPPES record last updated Jan 28, 2025
Key facts
- NPI
- 1790782027
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 0000000366 (TN)
- Legal business name
- WILLOWBROOK HOSPICE, INC.
- Practice address
- 235 Noah Dr Ste 300
Franklin, TN 37064-4048 - Phone
- (615) 791-8499
- Fax
- (615) 595-9775
- NPI assigned
- Jul 1, 2005
- Organization subpart
- No
Authorized official
- Name
- Matthew Buckhalter
- Title
- Cfo
- Phone
- (470) 464-8000
Owners & managing parties with NPI records 1
Facilities with the same owner 122
Practitioners 1
Affiliated clinicians 2
-
Joel Lowell Parker, M.D.
-
Faiza Rehman, M.D.
Medicare Care Compare: Hospice
- Listed as
- Aveanna Hospice
- Ownership
- For-Profit
- Certified
- Aug 1, 1994
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0894396 | Willowbrook Hospice, Inc | Certificate of waiver | Nov 13, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Hospice certification: CCN 441554
- Legal name
- WILLOWBROOK HOSPICE, INC.
- Doing business as
- AVEANNA HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Aug 1, 1994
- Last certification
- Nov 10, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation · Proprietary
- Incorporated
- Jun 14, 1994 in TN
- Enrollment address
- 235 Noah Dr
Ste 300
Franklin, TN 37064-4048
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| J.H. Whitney VII LP |
5% Or Greater Indirect Ownership Interest | Oct 26, 2020 | 16.09% |
| Psa Healthcare Investment Holding LLC |
5% Or Greater Indirect Ownership Interest | Oct 26, 2020 | 8.04% |
| Aveanna Healthcare LLC |
5% Or Greater Indirect Ownership Interest | Oct 26, 2020 | 100% |
| Aveanna Healthcare Intermediate Holdings LLC |
5% Or Greater Indirect Ownership Interest | Oct 26, 2020 | 100% |
| Sasha Bowers |
W-2 Managing Employee |
Nov 1, 2021 | |
| Aveanna Healthcare Holdings Inc |
5% Or Greater Indirect Ownership Interest | Oct 26, 2020 | 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 | Oct 26, 2020 | 5.35% |
| Hamilton Lane Co-Investment Fund III Holdings - 2 LP |
5% Or Greater Indirect Ownership Interest | Oct 26, 2020 | 7.5% |
| Rebecca Gibson |
W-2 Managing Employee |
Jun 9, 2024 | |
| Deborah Stewart |
Corporate Director |
Jul 7, 2023 | |
| Bain Capital Fund XI LP |
5% Or Greater Indirect Ownership Interest | Oct 26, 2020 | 35.54% |
| Willowbrook Health Systems Inc |
5% Or Greater Direct Ownership Interest | Apr 18, 2008 | 100% |
| Jerrold Perchik |
Corporate Officer |
Apr 29, 2024 | |
| Five Points Healthcare, LLC |
5% Or Greater Indirect Ownership Interest | Aug 29, 2014 | 100% |
| Aveanna Healthcare Senior Services LLC |
5% Or Greater Indirect Ownership Interest | Oct 26, 2020 | 100% |
| Bcpe Eagle Investor, L.P. |
5% Or Greater Indirect Ownership Interest | Apr 29, 2021 | 41.83% |
| Jeffrey Shaner |
Corporate Officer |
Oct 26, 2020 | |
| 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 |
|---|---|---|---|---|
| O20081212000515 | TN | Part a Provider - Hospice | 5193886844 | Practice locations: Murfreesboro, TN; Hendersonville, TN; Franklin, TN |
National Provider Directory
Locations
370 Reed Rd
Ste 320
Broomall, PA 19008
805 N Charlotte St
Dickson, TN 37055
Phone (615) 326-5767
131 Saundersville Rd
Ste 340B
Hendersonville, TN 37075
Phone (615) 822-9011
125B Haven St
Hendersonville, TN 37075
Phone (615) 822-9011
750 S Church St
#B
Murfreesboro, TN 37130
Phone (931) 246-9300
1451 Elm Hill Pike
Ste 102
Nashville, TN 37210
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 0000000366 | TN | Yes |
Addresses
Primary practice location
235 Noah Dr Ste 300
Franklin, TN 37064-4048
Mailing address
400 Interstate North Pkwy SE Ste 1600
Atlanta, GA 30339-5047
Phone (470) 464-8000
Other practice location 1
750 S Church Street, Bldg B
Suite B
Murfreesboro, TN 37130
Phone (931) 246-9300
Other practice location 2
131 Saundersville Rd Ste 340B
Hendersonville, TN 37075-8980
Phone (615) 822-9011
Other names
- Aveanna Hospice
NPI Registry JSON
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738022400000",
"number": "1790782027",
"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",
"fax_number": "770-248-8192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 NOAH DR STE 300",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370644048",
"telephone_number": "615-791-8499",
"fax_number": "615-595-9775"
}
],
"practiceLocations": [
{
"address_1": "750 S Church Street, Bldg B",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Murfreesboro",
"state": "TN",
"postal_code": "37130",
"country_code": "US",
"telephone_number": "931-246-9300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "131 Saundersville Rd Ste 340B",
"address_purpose": "LOCATION",
"city": "Hendersonville",
"state": "TN",
"postal_code": "370758980",
"country_code": "US",
"telephone_number": "615-822-9011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WILLOWBROOK HOSPICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-01",
"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": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "TN",
"license": "0000000366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Aveanna Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Franklin, TN
- Danielle Williamson
- Douglas Keith Williamson
- Margaret Williamson
- Willie Anderson MD LLC
- Josiah Willms
- Lucas E Wilmore
- Allison Mae Wilson
- Anita Kay Wilson
- Ann Marie Wilson
- Barry Todd Wilson
All providers in Franklin, TN · Community Based Hospice Care Agency in Tennessee
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.