Recover Health of Minnesota, Inc.
Organization Active NPI Home Health Agency · Edina, MN
NPI 1972500478 · NPPES record last updated Jan 28, 2025
Key facts
- NPI
- 1972500478
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- RECOVER HEALTH OF MINNESOTA, INC.
- 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
- Organization subpart
- No
Authorized official
- Name
- Matthew Buckhalter
- Title
- Cfo
- Phone
- (470) 464-8000
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 5
Facilities with the same owner 122
Affiliated clinicians 10
-
Natalie Ann Beane-Reeves, FNP-C
-
Kaitlyn Grausam, DNP, APRN, CNP
-
Samantha Barke Jamison, MSN, CNP, AGPCNP-BC
-
Josephine O'Gara, MD
-
Ashley Kate Radtke, DNP APRN CNP
-
Chloe L Sieling, DNP, APRN, FNP-C
Medicare Care Compare: Home health agency
- Listed as
- Aveanna Home Health
- Overall star rating
- ★★★★☆ 4 of 5
- Ownership
- Proprietary
- Certified
- Jul 13, 1989
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D0892133 | Aveanna Home Health | Certificate of waiver | Sep 23, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
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
- Corporation · Proprietary
- Incorporated
- Oct 7, 1988 in MN
- Enrollment address
- 7900 W 78TH St
Ste 215
Edina, MN 55439-2593
All disclosed owners & managing parties 19
| 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% |
| 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 | |
| Bain Capital Fund XI LP |
5% Or Greater Indirect Ownership Interest | Dec 20, 2020 | 36.04% |
| Recover Health Services LLC |
Operational/Managerial Control | Jun 16, 2009 | |
| Jerrold Perchik |
Corporate Officer |
Apr 29, 2024 | |
| Aveanna Healthcare Senior Services LLC |
5% Or Greater Indirect Ownership Interest | Dec 20, 2020 | 100% |
| Stacie Lockhart |
W-2 Managing Employee |
Mar 20, 2023 | |
| 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% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030402000002 | MN | Part a Provider - Home Health Agency | 1153230230 | Practice locations: Edina, MN |
National Provider Directory
- Tax ID family
- Aveanna Home Health
Locations
7900 W 78th St
Ste 215
Edina, MN 55439
Phone (952) 926-9808
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00007127501 | Other | MN | MHP PROVIDER NUMBER |
| 02478 | Other | MN | MN HEALTH FACILITY IDENTIFIER NUMBER |
| 703756200 | Medicaid | MN | |
| 111186 | Other | MN | UCARE PROVIDER NUMBER |
| 21613 | Other | MN | HEALTHPARTNERS PROVIDER # |
| 59-00086 | Other | MN | MEDICA PROVIDER NUMBER |
| 8574RE | Other | MN | BCBS MN PROVIDER NUMBER |
Other names
- Aveanna Home Health
Other providers in Edina, MN
- Megan Reaney
- Kevin Rebman
- Mark Wesley Reckson
- Reconnect Counseling LLC
- Recover Health of Minnesota, Inc.
- Red Balloon Urgent Care PLLC
- Emily Reddan
- Pratap Konudulla Reddy
- Amy Redlon
- Hannah Reece
All providers in Edina, MN · Home Health Agency in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.