Organization Active NPI

Hospice Advantage, LLC.

Doing business as Compassus - Owasso

  • Community Based Hospice Care Agency
  • Tulsa, OK
National Provider Identifier
1013320274
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HO4248 Issued in OK
Legal business name
HOSPICE ADVANTAGE, LLC.
Doing business as
Compassus - Owasso
Practice address
4612 S Harvard Ave Ste D
Tulsa, OK 74135-2929
Phone
(918) 770-7687
Fax
(918) 592-4110
NPI assigned
Jun 5, 2014
Last updated
Mar 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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 HO4248 OK Primary

Addresses

Primary practice location

4612 S Harvard Ave Ste D
Tulsa, OK 74135-2929

Mailing address

10 Cadillac Drive
Suite 400
Brentwood, TN 37027-1001
Phone (615) 377-7022

Other names 1

  • Compassus - Owasso Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141121001685 OK Part A Provider - Hospice 3779544960 Practice locations: Tulsa, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013320274. Details of each certification follow.

Hospice certification: CCN 371677

Legal name
HOSPICE ADVANTAGE LLC
Doing business as
COMPASSUS- OWASSO
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 12, 2006
Last certification
Dec 21, 2016
Ownership / control type
Other
Organization structure
LLCProprietary
Incorporated
Sep 8, 2004 in FL
Enrollment address
4612 S Harvard Ave
Ste D
Tulsa, OK 74135-2929

Care Compare: Hospice

Medicare Care Compare
Listed as
Compassus - OwassoCCN 371677 · All quality measures
Ownership
For-Profit
Certified
Dec 12, 2006
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Hospice Advantage LLC37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

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

View all 36

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

8551 N 125th East Ave
Ste 205
Owasso, OK 74055

Ownership & related parties

All disclosed owners & managing parties 21

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 Oct 7, 2015 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 OfficerSr. VP General Counsel Dec 1, 2017
Operational/Managerial Control Dec 1, 2017
Ascension Towerbrook Healthcare Opportunties LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.5%
Ti V ASC Compassus Investment Aggregator, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 99%
Compassus Holdings LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
Ascension Capital, LLC Organization, Clayton, MO LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.48%
Laura a Templeton Individual Corporate OfficerCoo Apr 12, 2023
Operational/Managerial ControlCoo Apr 12, 2023
Jeremy R Bolling Individual Corporate OfficerDivision President Jan 3, 2022
Ascension Health Alliance Organization, Clayton, MO Non-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.48%
Ti V Compassus Investment Aggregator, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.5%
Kama Brown Individual W-2 Managing EmployeeAd; Jul 5, 2022
Hospice Advantage Midco LLC Organization, Brentwood, TN For-profit 5% Or Greater Direct Ownership Interest Dec 14, 2001 100%
John R Hendrix Individual Contracted Managing EmployeeMD; Dec 1, 2022
Towerbrook Investors V (Onshore) LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 29.75%
Hospice Advantage Holdings, LLC Organization, Brentwood, TN For-profit 5% Or Greater Indirect Ownership Interest Dec 14, 2012 100%
Towerbrook Investors V (892), L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 14.14%
FC Compassus Hospice Blocker, LLC Organization, Brentwood, TN For-profit 5% Or Greater Indirect Ownership Interest Oct 7, 2015 13%
Compassus Intermediate, Inc. Organization, New York, NY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
Michael Asselta Individual Corporate OfficerCeo May 2, 2024
Operational/Managerial ControlCeo May 2, 2024

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Compassus-FlorenceFlorence, AL, CCN 011678 Hospice 5% Or Greater Direct Ownership Interest (100%) Dec 14, 2012
Compassus- North Georgia IIEast Ellijay, GA, CCN 111682 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 7, 2015
Compassus - AuburnAuburn, AL, CCN 011528 Hospice 5% Or Greater Direct Ownership Interest (100%) Dec 14, 2012

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

Affiliated clinicians 2

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": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1013320274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CADILLAC DRIVE",
            "address_2": "SUITE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271001",
            "telephone_number": "615-377-7022",
            "fax_number": "615-373-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 S HARVARD AVE STE D",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352929",
            "telephone_number": "918-770-7687",
            "fax_number": "918-592-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE ADVANTAGE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "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": "OK",
            "license": "HO4248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassus - Owasso",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.