Organization Active NPI

Five Points Healthcare of Ga, LLC

Doing business as Aveanna Home Health

  • Home Health Agency
  • Hardeeville, SC
National Provider Identifier
1821705021
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FIVE POINTS HEALTHCARE OF GA, LLC
Doing business as
Aveanna Home Health
Practice address
300 New River Pkwy Ste 7
Hardeeville, SC 29927-4575
Phone
(843) 208-3660
Fax
(843) 208-3474
NPI assigned
Oct 28, 2022
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 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
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

300 New River Pkwy Ste 7
Hardeeville, SC 29927-4575

Mailing address

400 Interstate North Pkwy SE Ste 1600
Atlanta, GA 30339-5047
Phone (470) 464-8000

Other names 1

  • Aveanna Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230921003752 SC Part A Provider - Home Health Agency 4789010224 Practice locations: Hardeeville, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821705021. Details of each certification follow.

Home health agency certification: CCN 427863

Legal name
FIVE POINTS HEALTHCARE OF GA LLC
Doing business as
AVEANNA HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 30, 2023
Last certification
Oct 19, 2023
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 29, 2019 in DE
Enrollment address
300 New River Pkwy
Ste 7
Hardeeville, SC 29927-4575

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Aveanna Home HealthCCN 427863 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Oct 30, 2023
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

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
42D0876786Five Points Healthcare of Ga, LLC Dba300 New River Pkwy, Suite 7, Hardeeville, SC 29927Certificate of waiverSep 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
Aveanna Home Health5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

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.

NameRoleSinceShare
J.H. Whitney VII LP Organization, New Canaan, CT For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 5, 2023 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 Jan 5, 2023 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 Jan 5, 2023 100%
Aveanna Healthcare Intermediate Holdings LLC Organization, Atlanta, GA LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 5, 2023 100%
Aveanna Healthcare Holdings Inc Organization, Atlanta, GA Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 5, 2023 100%
Tonya Barnes Individual W-2 Managing EmployeeAd; Feb 1, 2026
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 Jan 5, 2023 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 Jan 5, 2023 7.5%
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 Jan 5, 2023 35.54%
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 Direct Ownership Interest Jan 5, 2023 100%
Aveanna Healthcare Senior Services LLC Organization, Atlanta, GA LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 5, 2023 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 Jan 5, 2023 41.83%
Jeffrey Shaner Individual Corporate OfficerCeo Jan 5, 2023
Corporate DirectorCeo Jan 5, 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 Jan 5, 2023 5.45%

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

Affiliated clinicians 54

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

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1821705021",
    "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": "300 NEW RIVER PKWY STE 7",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299274575",
            "telephone_number": "843-208-3660",
            "fax_number": "843-208-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE POINTS HEALTHCARE OF GA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-28",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aveanna Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aveanna Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hardeeville, SC

Sources for this page

Verify at the official NPI Registry.