Active NPI
Premier Healthcare Services, LLC
Doing business as Aveanna Healthcare
- Home Health Agency
- Grand Junction, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PREMIER HEALTHCARE SERVICES, LLC
- Doing business as
- Aveanna Healthcare
- Practice address
- 744 Horizon CT Ste 115a
Grand Junction, CO 81506-3921 - Phone
- (970) 212-5031
- Fax
- (970) 212-3949
- NPI assigned
- Apr 15, 2014
- Last updated
- Jan 5, 2026
- 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 | CO | Primary |
Addresses
Primary practice location
744 Horizon CT Ste 115a
Grand Junction, CO 81506-3921
Mailing address
400 Interstate North Pkwy SE Ste 1600
Atlanta, GA 30339-5047
Phone (470) 464-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972922037 | Medicaid | CO |
Other names 1
- Aveanna Healthcare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140721001721 | CO | Part A Provider - Home Health Agency | 2264517697 | Practice locations: Grand Junction, CO |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1972922037. Details of each certification follow.
Home health agency certification: CCN 067527
- Legal name
- PREMIER HEALTHCARE SERVICES, LLC
- Doing business as
- AVEANNA HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 6, 2015
- Last certification
- Feb 9, 2018
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Nov 7, 2005 in CA
- Enrollment address
- 744 Horizon CT
Ste 115a
Grand Junction, CO 81506-3921
Other NPIs with the same Medicare PAC ID 15
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Aveanna Healthcare
- Home Health Agency
- Stevenson Ranch, CA
- NPI 1093946238
2264517697
-
dba Aveanna Healthcare
- Home Health Agency
- West Covina, CA
- NPI 1104058122
2264517697
-
dba Aveanna Healthcare
- Home Health Agency
- Sherman Oaks, CA
- NPI 1114159381
2264517697
-
dba Aveanna Healthcare
- Home Health Agency
- San Jose, CA
- NPI 1114246816
2264517697
-
dba Aveanna Healthcare
- Home Health Agency
- Torrance, CA
- NPI 1134306970
2264517697
-
dba Aveanna Healthcare
- Home Health Agency
- Sacramento, CA
- NPI 1275764417
2264517697
-
dba Aveanna Healthacare
- Home Health Agency
- Victorville, CA
- NPI 1295159366
2264517697
-
dba Aveanna Healthcare
- Home Health Agency
- Orange, CA
- NPI 1326292897
2264517697
-
dba Aveanna Healthcare
- Home Health Agency
- Alameda, CA
- NPI 1396064093
2264517697
-
dba Aveanna Healthcare
- Home Health Agency
- San Diego, CA
- NPI 1437385010
2264517697
-
dba Aveanna Healthcare
- Home Health Agency
- Culver City, CA
- NPI 1437400165
2264517697
-
dba Aveanna Healthcare
- Home Health Agency
- Temecula, CA
- NPI 1669600284
2264517697
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Aveanna Healthcare
- Ownership
- Proprietary
- Certified
- Mar 6, 2015
- Medicare certification status
- Active
- Services
- Nursing, Home health aide
National Provider Directory
National Provider Directory- Tax ID family
- Premier Healthcare Services
Other organizations with this tax ID 23
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Aveanna Healthcare
- In Home Supportive Care Agency
- Grand Junction, CO
- NPI 1780286781
-
- Preferred Provider Organization
- Milwaukee, WI
- NPI 1407390800
-
dba Aveanna Healthcare
- Home Health Agency
- Stevenson Ranch, CA
- NPI 1093946238
-
dba Aveanna Healthcare
- Home Health Agency
- West Covina, CA
- NPI 1104058122
-
dba Aveanna Healthcare
- Home Health Agency
- Sherman Oaks, CA
- NPI 1114159381
-
dba Aveanna Healthcare
- Home Health Agency
- San Jose, CA
- NPI 1114246816
-
dba Aveanna Healthcare
- Home Health Agency
- Torrance, CA
- NPI 1134306970
-
dba Aveanna Healthcare
- Home Health Agency
- Sacramento, CA
- NPI 1275764417
-
- Home Health Agency
- Pasadena, CA
- NPI 1295089209
-
dba Aveanna Healthacare
- Home Health Agency
- Victorville, CA
- NPI 1295159366
-
dba Aveanna Healthcare
- Home Health Agency
- Orange, CA
- NPI 1326292897
-
dba Aveanna Healthcare
- Home Health Agency
- Alameda, CA
- NPI 1396064093
Locations
744 Horizon Ct
Ste 115A
Grand Junction, CO 81506
Phone (970) 212-5031
Ownership & related parties
All disclosed owners & managing parties 16
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 | Jul 1, 2018 | 16.09% |
| Psa Healthcare Investment Holding LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2018 | 8.04% |
| Aveanna Healthcare LLC | 5% Or Greater Direct Ownership Interest | Jul 1, 2018 | 100% |
| Aveanna Healthcare Intermediate Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2018 | 100% |
| Amanda Rossetti | W-2 Managing Employee | Mar 9, 2026 | |
| Aveanna Healthcare Holdings Inc | 5% Or Greater Indirect Ownership Interest | Jul 1, 2018 | 100% |
| Nut Tree Master Fund LP | 5% Or Greater Indirect Ownership Interest | Dec 31, 2023 | 6.34% |
| Matthew Buckhalter | Corporate Officer | Jul 7, 2023 | |
| Corporate Director | Jul 7, 2023 | ||
| Bcip Associates IV US L.P. | 5% Or Greater Indirect Ownership Interest | Jul 1, 2018 | 5.35% |
| Hamilton Lane Co-Investment Fund III Holdings - 2 LP | 5% Or Greater Indirect Ownership Interest | Jul 1, 2018 | 7.5% |
| Deborah Stewart | Corporate Director | Jul 7, 2023 | |
| Bain Capital Fund XI LP | 5% Or Greater Indirect Ownership Interest | Jul 1, 2018 | 35.54% |
| Jerrold Perchik | Corporate Officer | Apr 29, 2024 | |
| Bcpe Eagle Investor, L.P. | 5% Or Greater Indirect Ownership Interest | Apr 29, 2021 | 41.83% |
| Jeffrey Shaner | Corporate Officer | Jul 1, 2018 | |
| Corporate Director | Jan 1, 2023 | ||
| Pea Washington Holdings, LP | 5% Or Greater Indirect Ownership Interest | Apr 29, 2021 | 5.45% |
Facilities with the same owner 122
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Aveanna Healthcare
- Home Health Agency
- Englewood, CO
- NPI 1790751915
Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne
-
dba Aveanna Healthcare
- Home Health Agency
- Westminster, CO
- NPI 1326346305
Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne
-
dba Aveanna Healthcare
- Home Health Agency
- Loveland, CO
- NPI 1699962365
Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne
-
dba Aveanna Healthcare
- Home Health Agency
- Colorado Springs, CO
- NPI 1467869214
Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne
-
dba Aveanna Healthcare
- Nursing Care Agency
- Aurora, CO
- NPI 1992731848
Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne
-
dba Aveanna Healthcare
- Home Health Agency
- Pueblo, CO
- NPI 1174822571
Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne
-
dba Aveanna Home Health
- Home Health Agency
- Orlando, FL
- NPI 1376584730
Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne
-
dba Aveanna Home Health
- Home Health Agency
- Gainesville, FL
- NPI 1518182773
Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne
-
dba Aveanna Healthcare
- Home Health Agency
- Chambersburg, PA
- NPI 1013150275
Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne
-
dba Aveanna Healthcare
- Home Health Agency
- Phoenix, AZ
- NPI 1013156470
Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne
-
dba Aveanna Healthcare
- Home Health Agency
- Lancaster, PA
- NPI 1093788002
Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne
-
dba Aveanna Healthcare
- Home Health Agency
- State College, PA
- NPI 1760621122
Aveanna Healthcare Holdings Inc, Aveanna Healthcare Intermediate Holdings LLC, Aveanna Healthcare LLC, Bain Capital Fund XI LP, Bcip Associates IV US L.P., Bcpe Eagle Investor, L.P., Hamilton Lane Co-Investment Fund III Holdings - 2 LP, J.H. Whitne
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767571200000",
"number": "1972922037",
"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",
"fax_number": "770-248-8192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 HORIZON CT STE 115A",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815063921",
"telephone_number": "970-212-5031",
"fax_number": "970-212-3949"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER HEALTHCARE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-15",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"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": "CO",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972922037",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Aveanna Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.