Organization Active NPI

Recover Health of Minnesota, Inc.

Doing business as Aveanna Home Health

  • Home Health Agency
  • Edina, MN
National Provider Identifier
1972500478
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RECOVER HEALTH OF MINNESOTA, INC.
Doing business as
Aveanna Home Health
Practice address
7900 W 78TH St Ste 215
Edina, MN 55439-2593
Phone
(952) 926-9808
Fax
(952) 358-3197
NPI assigned
Jun 30, 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
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7900 W 78TH St Ste 215
Edina, MN 55439-2593

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 MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030402000002 MN Part A Provider - Home Health Agency 1153230230 Practice locations: Edina, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972500478. Details of each certification follow.

Home health agency certification: CCN 247250

Legal name
RECOVER HEALTH OF MINNESOTA INC
Doing business as
AVEANNA HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 13, 1989
Last certification
Dec 28, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 7, 1988 in MN
Enrollment address
7900 W 78TH St
Ste 215
Edina, MN 55439-2593

Other NPIs with the same Medicare PAC ID 5

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 247250 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jul 13, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, 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
24D0892133Aveanna Home Health7900 W 78TH Street, Ste 215, Edina, MN 55439Certificate of waiverSep 23, 2026

National Provider Directory

National Provider Directory
Tax ID family
Aveanna Home Health6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

300 11th Ave NW
Ste 201
Rochester, MN 55901
Phone (507) 282-2246

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.

NameRoleSinceShare
J.H. Whitney VII LP Organization, New Canaan, CT For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 20, 2020 16.36%
Psa Healthcare Investment Holding LLC Organization, New Canaan, CT LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 20, 2020 8.17%
Aveanna Healthcare LLC Organization, Atlanta, GA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 20, 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 Dec 20, 2020 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 Dec 20, 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 6.43%
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 Dec 20, 2020 5.43%
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 Dec 20, 2020 7.62%
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 Dec 20, 2020 36.04%
Recover Health Services LLC Organization, Atlanta, GA LLC, Chain home office Operational/Managerial Control Jun 16, 2009
Jerrold Perchik Individual Corporate OfficerSecretary Apr 29, 2024
Aveanna Healthcare Senior Services LLC Organization, Atlanta, GA LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Dec 20, 2020 100%
Stacie Lockhart Individual W-2 Managing EmployeeAdministrator Mar 20, 2023
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 42.42%
Recover Health Inc Organization, Atlanta, GA Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 16, 2009 100%
Jeffrey Shaner Individual Corporate OfficerCeo Dec 20, 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 5.54%

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 10

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": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1972500478",
    "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": "7900 W 78TH ST STE 215",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392593",
            "telephone_number": "952-926-9808",
            "fax_number": "952-358-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVER HEALTH OF MINNESOTA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "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": "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 Edina, MN

Sources for this page

Verify at the official NPI Registry.