Active NPI
Recover Health of Minnesota, Inc.
Doing business as Aveanna Home Health
- Home Health Agency
- Waite Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- RECOVER HEALTH OF MINNESOTA, INC.
- Doing business as
- Aveanna Home Health
- Practice address
- 60 10TH Ave S Ste 60
Waite Park, MN 56387-1055 - Phone
- (320) 774-0777
- Fax
- (320) 774-0779
- NPI assigned
- Jun 30, 2005
- Last updated
- Apr 1, 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
60 10TH Ave S Ste 60
Waite Park, MN 56387-1055
Mailing address
400 Interstate North Pkwy SE Ste 1600
Atlanta, GA 30339-5047
Phone (470) 464-8000
Other practice location 1
1107 W Lincoln Ave
Fergus Falls, MN 56537-1022
Phone (218) 321-2100
Other names 1
- Aveanna Home Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030402000003 | MN | Part A Provider - Home Health Agency | 1153230230 | Practice locations: Fergus Falls, MN; Waite Park, MN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1841297140. Details of each certification follow.
Home health agency certification: CCN 247185
- Legal name
- RECOVER HEALTH OF MINNESOTA INC
- Doing business as
- AVEANNA HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 8, 1984
- Last certification
- Nov 15, 2017
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Oct 7, 1988 in MN
- Enrollment address
- 60 10TH Ave S
Ste 60
Waite Park, MN 56387-1055
Other NPIs with the same Medicare PAC ID 5
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Aveanna Home Health
- Home Health Agency
- Rochester, MN
- NPI 1306072939
1153230230
-
dba Aveanna Home Health
- Home Health Agency
- Grand Rapids, MN
- NPI 1346272945
1153230230
-
dba Aveanna Home Health
- Home Health Agency
- Virginia, MN
- NPI 1598768350
1153230230
-
dba Aveanna Home Health
- Home Health Agency
- Duluth, MN
- NPI 1639627391
1153230230
-
dba Aveanna Home Health
- Home Health Agency
- Edina, MN
- NPI 1972500478
1153230230
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Aveanna Home Health
- Overall star rating
- Ownership
- Proprietary
- Certified
- Aug 8, 1984
- Medicare certification status
- Active
- Services
- Nursing, 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 |
|---|---|---|---|
| 24D0651275 | Aveanna Home Health | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Aveanna Home Health
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Aveanna Home Health
- Home Health Agency
- Rochester, MN
- NPI 1306072939
-
dba Aveanna Home Health
- Home Health Agency
- Grand Rapids, MN
- NPI 1346272945
-
dba Aveanna Healthcare
- Nursing Care Agency
- Edina, MN
- NPI 1386310696
-
dba Aveanna Home Health
- Home Health Agency
- Duluth, MN
- NPI 1639627391
-
dba Aveanna Home Health
- Home Health Agency
- Edina, MN
- NPI 1972500478
Locations
1107 W Lincoln Ave
Fergus Falls, MN 56537
Phone (218) 321-2100
2900 E Beltline
Ste 1
Hibbing, MN 55746
Phone (218) 262-5887
3400 1st St N
Saint Cloud, MN 56303
Phone (612) 597-8712
60 10th Ave S
Ste 60
Waite Park, MN 56387
Phone (320) 774-0777
Ownership & related parties
All disclosed owners & managing parties 19
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 20, 2020 | 16.36% |
| Psa Healthcare Investment Holding LLC | 5% Or Greater Indirect Ownership Interest | Dec 20, 2020 | 8.17% |
| Aveanna Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Dec 20, 2020 | 100% |
| Kyra Monson | W-2 Managing Employee | Aug 18, 2024 | |
| Aveanna Healthcare Intermediate Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 20, 2020 | 100% |
| Aveanna Healthcare Holdings Inc | 5% Or Greater Indirect Ownership Interest | Dec 20, 2020 | 100% |
| Nut Tree Master Fund LP | 5% Or Greater Indirect Ownership Interest | Dec 31, 2023 | 6.43% |
| 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 20, 2020 | 5.43% |
| Hamilton Lane Co-Investment Fund III Holdings - 2 LP | 5% Or Greater Indirect Ownership Interest | Dec 20, 2020 | 7.62% |
| Deborah Stewart | Corporate Director | Jul 7, 2023 | |
| Recover Health Services LLC | Operational/Managerial Control | Jun 16, 2009 | |
| Jerrold Perchik | Corporate Officer | Apr 29, 2024 | |
| Bain Capital Fund XI LP | 5% Or Greater Indirect Ownership Interest | Dec 20, 2020 | 36.04% |
| Aveanna Healthcare Senior Services LLC | 5% Or Greater Indirect Ownership Interest | Dec 20, 2020 | 100% |
| Bcpe Eagle Investor, L.P. | 5% Or Greater Indirect Ownership Interest | Apr 29, 2021 | 42.42% |
| Recover Health Inc | 5% Or Greater Direct Ownership Interest | Jun 16, 2009 | 100% |
| Jeffrey Shaner | Corporate Officer | Dec 20, 2020 | |
| Corporate Director | Jan 1, 2023 | ||
| Pea Washington Holdings, LP | 5% Or Greater Indirect Ownership Interest | Apr 29, 2021 | 5.54% |
Facilities with the same owner 122
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Aveanna Home Health
- Home Health Agency
- Rochester, MN
- NPI 1306072939
Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Aveanna Healthcare Senior Services LLC, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 L
-
dba Aveanna Home Health
- Home Health Agency
- Grand Rapids, MN
- NPI 1346272945
Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Aveanna Healthcare Senior Services LLC, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 L
-
dba Aveanna Home Health
- Home Health Agency
- Virginia, MN
- NPI 1598768350
Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Aveanna Healthcare Senior Services LLC, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 L
-
dba Aveanna Home Health
- Home Health Agency
- Duluth, MN
- NPI 1639627391
Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Aveanna Healthcare Senior Services LLC, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 L
-
dba Aveanna Home Health
- Home Health Agency
- Edina, MN
- NPI 1972500478
Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Aveanna Healthcare Senior Services LLC, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 L
-
dba Aveanna Home Health
- Home Health Agency
- Orlando, FL
- NPI 1376584730
Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Aveanna Healthcare Senior Services LLC, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 L
-
dba Aveanna Home Health
- Home Health Agency
- Gainesville, FL
- NPI 1518182773
Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Aveanna Healthcare Senior Services LLC, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 L
-
dba Aveanna Healthcare
- Home Health Agency
- Chambersburg, PA
- NPI 1013150275
Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitney VII LP, Nut Tree Master
-
dba Aveanna Healthcare
- Home Health Agency
- Phoenix, AZ
- NPI 1013156470
Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitney VII LP, Nut Tree Master
-
dba Aveanna Healthcare
- Home Health Agency
- Lancaster, PA
- NPI 1093788002
Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitney VII LP, Nut Tree Master
-
dba Aveanna Healthcare
- Home Health Agency
- State College, PA
- NPI 1760621122
Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitney VII LP, Nut Tree Master
-
dba Aveanna Healthcare
- Home Health Agency
- Springfield, MA
- NPI 1881833259
Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitney VII LP, Nut Tree Master
Practitioners & affiliated clinicians
Affiliated clinicians 26
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Detroit Lakes, MN
- NPI 1639475940
Home health agency
-
- Internal Medicine Physician
- Alexandria, MN
- NPI 1205365830
Home health agency
-
- Gerontology Nurse Practitioner
- Minneapolis, MN
- NPI 1609461292
Home health agency
-
- Adult Health Nurse Practitioner
- Park Rapids, MN
- NPI 1861830275
Home health agency
-
- Family Nurse Practitioner
- Fergus Falls, MN
- NPI 1801626171
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743465600000",
"number": "1841297140",
"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": "60 10TH AVE S STE 60",
"city": "WAITE PARK",
"state": "MN",
"postal_code": "563871055",
"telephone_number": "320-774-0777",
"fax_number": "320-774-0779"
}
],
"practiceLocations": [
{
"address_1": "1107 W Lincoln Ave",
"address_purpose": "LOCATION",
"city": "Fergus Falls",
"state": "MN",
"postal_code": "565371022",
"country_code": "US",
"telephone_number": "218-321-2100",
"fax_number": "218-321-2121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RECOVER HEALTH OF MINNESOTA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-30",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"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"
}
]
}
Other providers in Waite Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.