Organization Active NPI

Mountain HHA, LLC

Doing business as Mountain Home Health

  • Home Health Agency
  • Blairsville, GA
National Provider Identifier
1851831705
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
144-132 Issued in GA
Legal business name
MOUNTAIN HHA, LLC
Doing business as
Mountain Home Health
Practice address
516 Blue Ridge St Ste a
Blairsville, GA 30512-3159
Phone
(706) 745-5101
Fax
(706) 745-5139
NPI assigned
Feb 26, 2017
Last updated
Sep 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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 144-132 GA Primary

Addresses

Primary practice location

516 Blue Ridge St Ste a
Blairsville, GA 30512-3159

Mailing address

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

Other names 1

  • Mountain Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170519001275 GA Part A Provider - Home Health Agency 1456628528 Practice locations: Blairsville, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851831705. Details of each certification follow.

Home health agency certification: CCN 117095

Legal name
MOUNTAIN HHA, LLC
Doing business as
MOUNTAIN HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 1, 1991
Last certification
Apr 25, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
516 Blue Ridge St
Ste a
Blairsville, GA 30512-3159

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mountain Home HealthCCN 117095 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
May 1, 1991
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
11D0885491Mountain Home Health Services516 Blue Ridge Street, Suite a, Blairsville, GA 30512Certificate of waiverApr 21, 2028

National Provider Directory

National Provider Directory

Locations

516 Blue Ridge St
Ste A
Blairsville, GA 30512
Phone (706) 745-5101

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Fulcrum Growth Fund IV QP, LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 6, 2021 51.86%
Mountain HHA, LLC Organization, Nashville, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Feb 21, 2017 100%
JM Home Health Holdings LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 6, 2021 8.24%
Homefirst Holdings Inc Organization, Nashville, TN Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 6, 2021 100%
JKH Healthcare Holdings LLC Organization, Riviera Beach, FL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 6, 2021 16.49%
Bridgeway Home Health Holdings LLC Organization, Nashville, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 21, 2016 100%
Operational/Managerial Control Nov 21, 2016 100%
Amanda McFaddin-Mills Individual Corporate DirectorSenior VP of Compliance Apr 9, 2026 100%
W-2 Managing EmployeeSenior VP of Compliance Apr 9, 2026 100%
Operational/Managerial ControlSenior VP of Compliance Apr 9, 2026 100%
Harpeth Ventures Opportunity Fund LP Organization, Nashville, TN For-profit 5% Or Greater Indirect Ownership Interest Dec 6, 2021 12.36%

Facilities with the same owner 6

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

Change-of-ownership history 1

DateEventCounterparty
Feb 21, 2017 Change of OwnershipThis provider was the buyer Appalachian Home Health Care, Inc.CCN 117095, GA, NPI 1922299817

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1488067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1851831705",
    "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": "516 BLUE RIDGE ST STE A",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123159",
            "telephone_number": "706-745-5101",
            "fax_number": "706-745-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN HHA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-26",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "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": "GA",
            "license": "144-132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mountain Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blairsville, GA

Sources for this page

Verify at the official NPI Registry.