Organization Active NPI

Amenity Healthcare, LLC

  • Community Based Hospice Care Agency
  • Cedar Rapids, IA
National Provider Identifier
1003813908
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
STATE DOES NOT ISSUE Issued in IA
Legal business name
AMENITY HEALTHCARE, LLC
Practice address
5005 Bowling St SW Ste B
Cedar Rapids, IA 52404-5070
Phone
(319) 362-2500
Fax
(319) 362-2501
NPI assigned
Jul 7, 2005
Last updated
Mar 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Russell Adkins
Title
SVP General Counsel
Phone
(615) 309-5668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X STATE DOES NOT ISSUE IA Primary

Addresses

Primary practice location

5005 Bowling St SW Ste B
Cedar Rapids, IA 52404-5070

Mailing address

10 Cadillac Dr
Suite 400
Brentwood, TN 37027-5078
Phone (615) 425-5407

Other identifiers 3

IdentifierTypeStateIssuer
61566OtherIAWELLMARK BCBS
7251528OtherIAAETNA
0615716MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051010000346 IA Part A Provider - Hospice 2466477484 Practice locations: Cedar Falls, IA; Cedar Rapids, IA; Davenport, IA; Washington, IA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003813908. Details of each certification follow.

Hospice certification: CCN 161566

Legal name
AMENITY HEALTHCARE LLC
Doing business as
HOSPICE COMPASSUS-NORTHEAST IOWA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 14, 2002
Last certification
Mar 21, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Oct 18, 2001 in DE
Enrollment address
5005 Bowling St SW
Ste B
Cedar Rapids, IA 52404-5070

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice Compassus - Northeast IowaCCN 161566 · All quality measures
Ownership
For-Profit
Certified
Feb 14, 2002
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

5005 Bowling St SW
Ste B
Cedar Rapids, IA 52404
Phone (319) 362-2500

5355 Eastern Ave
Davenport, IA 52807
Phone (319) 355-3867

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Compassus Parent, Inc. Organization, New York, NY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
FC Compassus LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 22, 2014 100%
Washington State Investment Board Organization, Olympia, WA For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 5.24%
Russell G Adkins Individual Corporate OfficerSenior VP General Counsel Dec 1, 2017
Corporate DirectorBoard Member Dec 1, 2017
Compassus Holdings, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
CLP Healthcare Services LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2008 100%
Ascension Towerbrook Healthcare Opportunities LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.5%
Laura a Templeton Individual Corporate OfficerEvp, Chief Operating Officer Apr 12, 2023
Operational/Managerial ControlEvp, Chief Operating Officer Apr 12, 2023
Jeremy R Bolling Individual Corporate OfficerDivision President Jan 3, 2022
Mashell L Belzer Individual W-2 Managing EmployeeAd; Apr 1, 2020
Community Hospices of America, LLC. Organization, Brentwood, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Sep 30, 2005 100%
Operational/Managerial Control Dec 22, 2014
Ti V Compassus Investment Aggregator, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.5%
Compassus Intermediate Inc Organization, New York, NY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
Towerbrook Investors V (Onshore) LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 29.75%
Ascension Capital LLC Organization, Clayton, MO LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.48%
Towerbrook Investors V (892), L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 14.14%
Violet K Hunter Individual Contracted Managing Employee Oct 1, 2024
Ascension Health Alliance Organization, Clayton, MO Non-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.48%
Michael Asselta Individual Corporate OfficerCeo May 2, 2024
Operational/Managerial ControlCeo May 2, 2024
Ti V ASC Compassus Investment Aggregator LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 99%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 166

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

View all 166

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1003813908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CADILLAC DR",
            "address_2": "SUITE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275078",
            "telephone_number": "615-425-5407",
            "fax_number": "615-373-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 BOWLING ST SW STE B",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524045070",
            "telephone_number": "319-362-2500",
            "fax_number": "319-362-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMENITY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "SVP GENERAL COUNSEL",
        "authorized_official_telephone_number": "615-309-5668"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IA",
            "license": "STATE DOES NOT ISSUE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "61566",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7251528",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0615716",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.