Hospice Advantage, LLC.
Organization Active NPI Community Based Hospice Care Agency · Tulsa, OK
NPI 1013320274 · NPPES record last updated Mar 30, 2023
Key facts
- NPI
- 1013320274
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- HO4248 (OK)
- Legal business name
- HOSPICE ADVANTAGE, LLC.
- 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
- Organization subpart
- No
Authorized official
- Name
- Russell Adkins
- Title
- SVP General Counsel
- Phone
- (615) 309-5668
Owners & managing parties with NPI records 2
-
John Robert Hendrix, M.D.
Corporate family (same tax ID) 36
Member of 1
Facilities with the same owner 166
Affiliated clinicians 2
-
Scott Cole, MD
-
Dustin Cupp, D.O.
Medicare Care Compare: Hospice
- Listed as
- Compassus - Owasso
- Ownership
- For-Profit
- Certified
- Dec 12, 2006
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
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
- LLC · Proprietary
- Incorporated
- Sep 8, 2004 in FL
- Enrollment address
- 4612 S Harvard Ave
Ste D
Tulsa, OK 74135-2929
All disclosed owners & managing parties 21
| Name | Role | Since | Share |
|---|---|---|---|
| Compassus Parent, Inc. |
5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 100% |
| FC Compassus LLC |
5% Or Greater Indirect Ownership Interest | Oct 7, 2015 | 100% |
| Washington State Investment Board |
5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 5.24% |
| Russell G Adkins |
Corporate Officer |
Dec 1, 2017 | |
| Operational/Managerial Control | Dec 1, 2017 | ||
| Ascension Towerbrook Healthcare Opportunties LP |
5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 49.5% |
| Ti V ASC Compassus Investment Aggregator, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 99% |
| Compassus Holdings LP |
5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 100% |
| Ascension Capital, LLC |
5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 49.48% |
| Laura a Templeton |
Corporate Officer |
Apr 12, 2023 | |
| Operational/Managerial Control |
Apr 12, 2023 | ||
| Jeremy R Bolling |
Corporate Officer |
Jan 3, 2022 | |
| Ascension Health Alliance |
5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 49.48% |
| Ti V Compassus Investment Aggregator, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 49.5% |
| Kama Brown |
W-2 Managing Employee |
Jul 5, 2022 | |
| Hospice Advantage Midco LLC |
5% Or Greater Direct Ownership Interest | Dec 14, 2001 | 100% |
| John R Hendrix |
Contracted Managing Employee |
Dec 1, 2022 | |
| Towerbrook Investors V (Onshore) LP |
5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 29.75% |
| Hospice Advantage Holdings, LLC |
5% Or Greater Indirect Ownership Interest | Dec 14, 2012 | 100% |
| Towerbrook Investors V (892), L.P. |
5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 14.14% |
| FC Compassus Hospice Blocker, LLC |
5% Or Greater Indirect Ownership Interest | Oct 7, 2015 | 13% |
| Compassus Intermediate, Inc. |
5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 100% |
| Michael Asselta |
Corporate Officer |
May 2, 2024 | |
| Operational/Managerial Control |
May 2, 2024 |
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Compassus-Florence |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Dec 14, 2012 |
| Compassus- North Georgia II |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Oct 7, 2015 |
| Compassus - Auburn |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | Dec 14, 2012 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141121001685 | OK | Part a Provider - Hospice | 3779544960 | Practice locations: Tulsa, OK |
National Provider Directory
- Tax ID family
- Hospice Advantage LLC
Locations
3204 W Okmulgee St
Muskogee, OK 74401
Phone (918) 742-7030
8551 N 125th East Ave
Ste 205
Owasso, OK 74055
1325 E 15th St
Ste 205
Tulsa, OK 74120
Phone (918) 300-4939
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | HO4248 | OK | Yes |
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
- Compassus - Owasso
Other providers in Tulsa, OK
- Kathryn Lee Horwath
- Morgan Horwitz
- Michael Hosier
- Thomas Karl Hoskison
- Hospice Advantage, LLC
- Hospice of Green Country, Inc.
- Hospice of Northeast Oklahoma, LLC
- MD Hossain
- Wesley Hostetler
- Christopher Hotella
All providers in Tulsa, OK · Community Based Hospice Care Agency in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2023. 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.