Organization Active NPI

Willowbrook Hospice, Inc.

Doing business as Aveanna Hospice

  • Community Based Hospice Care Agency
  • Franklin, TN
National Provider Identifier
1790782027
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
0000000366 Issued in TN
Legal business name
WILLOWBROOK HOSPICE, INC.
Doing business as
Aveanna Hospice
Practice address
235 Noah Dr Ste 300
Franklin, TN 37064-4048
Phone
(615) 791-8499
Fax
(615) 595-9775
NPI assigned
Jul 1, 2005
Last updated
Jan 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 0000000366 TN Primary

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 1

  • Aveanna Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081212000515 TN Part A Provider - Hospice 5193886844 Practice locations: Murfreesboro, TN; Hendersonville, TN; Franklin, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790782027. Details of each certification follow.

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
CorporationProprietary
Incorporated
Jun 14, 1994 in TN
Enrollment address
235 Noah Dr
Ste 300
Franklin, TN 37064-4048

Care Compare: Hospice

Medicare Care Compare
Listed as
Aveanna HospiceCCN 441554 · All quality measures
Ownership
For-Profit
Certified
Aug 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0894396Willowbrook Hospice, Inc235 Noah Drive, Suite 300, Franklin, TN 37064Certificate of waiverNov 13, 2026

National Provider Directory

National Provider Directory

Locations

370 Reed Rd
Ste 320
Broomall, PA 19008

805 N Charlotte St
Dickson, TN 37055
Phone (615) 326-5767

125B Haven St
Hendersonville, TN 37075
Phone (615) 822-9011

131 Saundersville Rd
Ste 340B
Hendersonville, TN 37075
Phone (615) 822-9011

1451 Elm Hill Pike
Ste 102
Nashville, TN 37210

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
J.H. Whitney VII LP Organization, New Canaan, CT For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 26, 2020 16.09%
Psa Healthcare Investment Holding LLC Organization, New Canaan, CT LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 26, 2020 8.04%
Aveanna Healthcare LLC Organization, Atlanta, GA LLC, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 26, 2020 100%
Aveanna Healthcare Intermediate Holdings LLC Organization, Atlanta, GA LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 26, 2020 100%
Sasha Bowers Individual W-2 Managing EmployeeMD; Nov 1, 2021
Aveanna Healthcare Holdings Inc Organization, Atlanta, GA Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 26, 2020 100%
Nut Tree Master Fund LP Organization, New York, NY For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 31, 2023 6.34%
Matthew Buckhalter Individual Corporate OfficerCfo Jul 7, 2023
Corporate DirectorCfo Jul 7, 2023
Bcip Associates IV US L.P. Organization, Boston, MA For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 26, 2020 5.35%
Hamilton Lane Co-Investment Fund III Holdings - 2 LP Organization, Bala Cynwyd, PA For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 26, 2020 7.5%
Rebecca Gibson Individual W-2 Managing EmployeeAd; Jun 9, 2024
Deborah Stewart Individual Corporate DirectorDirector Jul 7, 2023
Bain Capital Fund XI LP Organization, Boston, MA For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 26, 2020 35.54%
Willowbrook Health Systems Inc Organization, Atlanta, GA Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 18, 2008 100%
Jerrold Perchik Individual Corporate OfficerSecretary Apr 29, 2024
Five Points Healthcare, LLC Organization, Atlanta, GA LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 29, 2014 100%
Aveanna Healthcare Senior Services LLC Organization, Atlanta, GA LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 26, 2020 100%
Bcpe Eagle Investor, L.P. Organization, Boston, MA Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 29, 2021 41.83%
Jeffrey Shaner Individual Corporate OfficerCeo Oct 26, 2020
Corporate DirectorCeo Jan 1, 2023
Pea Washington Holdings, LP Organization, George Town For-profit, Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 29, 2021 5.45%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 122

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 122

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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

Sources for this page

Verify at the official NPI Registry.