Active NPI
Compassus Op of Arizona LLC
Doing business as Compassus - Phoenix
- Community Based Hospice Care Agency
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- COMPASSUS OP OF ARIZONA LLC
- Doing business as
- Compassus - Phoenix
- Practice address
- 5333 N 7TH St Ste C123
Phoenix, AZ 85014-2815 - Phone
- (623) 900-2645
- Fax
- (855) 553-7913
- NPI assigned
- Oct 11, 2016
- Last updated
- Feb 15, 2023
- 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
- Russell Adkins
- Title
- SVP General Counsel
- Phone
- (615) 309-5668
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
5333 N 7TH St Ste C123
Phoenix, AZ 85014-2815
Mailing address
10 Cadillac Drive
Suite 400
Brentwood, TN 37027
Phone (615) 377-7022
Other names 1
- Compassus - Phoenix
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170208001862 | AZ | Part A Provider - Hospice | 3577846922 | Practice locations: Phoenix, AZ |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1013467364. Details of each certification follow.
Hospice certification: CCN 031555
- Legal name
- COMPASSUS OP OF ARIZONA LLC
- Doing business as
- COMPASSUS - PHOENIX
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Sep 2, 2004
- Last certification
- Nov 14, 2019
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Aug 31, 2016 in DE
- Enrollment address
- 5333 N 7TH St
Ste C123
Phoenix, AZ 85014-2815
Care Compare: Hospice
Medicare Care Compare- Listed as
- Compassus - Phoenix
- Ownership
- For-Profit
- Certified
- Sep 2, 2004
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Compassus - Phoenix
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Compassus - Phoenix
- Community Based Hospice Care Agency
- Phoenix, AZ
- NPI 1689118085
Locations
5333 N 7th St
Ste C123
Phoenix, AZ 85014
Phone (623) 900-2645
10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163
Ownership & related parties
All disclosed owners & managing parties 22
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 |
|---|---|---|---|
| Cassy M Wilson | W-2 Managing Employee | Apr 1, 2023 | |
| FC Compassus LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2017 | 100% |
| Washington State Investment Board | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 5.24% |
| Russell G Adkins | Corporate Officer | Jan 1, 2017 | |
| Operational/Managerial Control | Jan 1, 2017 | ||
| David F Grams | Corporate Director | Jan 31, 2022 | |
| Satpreet Singh Gill | Contracted Managing Employee | Jan 1, 2017 | |
| Ascension Towerbrook Healthcare Opportunities LP | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 49.5% |
| Compassus Holdings LP | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 100% |
| Laura a Templeton | Corporate Officer | Apr 12, 2023 | |
| Operational/Managerial Control | Apr 12, 2023 | ||
| Jeremy R Bolling | Corporate Officer | Jan 3, 2022 | |
| Compassus Op Holdings I LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2017 | 100% |
| Community Hospices of America, LLC. | Operational/Managerial Control | Jan 1, 2017 | |
| Ti V Compassus Investment Aggregator, L.P. | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 49.5% |
| Compassus Op Holdings II LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2017 | 100% |
| Compassus Intermediate Inc | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 100% |
| Towerbrook Investors V (Onshore) LP | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 29.75% |
| Ascension Capital LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 49.48% |
| Towerbrook Investors V (892), L.P. | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 14.14% |
| Compassus Parent Inc | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 100% |
| Ascension Health Alliance | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 49.48% |
| Compassus Op Holdings of Arizona LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2017 | 100% |
| Ti V ASC Compassus Investment Aggregator LP | 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.
-
- Internal Medicine Physician
- Sun City, AZ
- NPI 1750487344
Contracted Managing Employee
Facilities with the same owner 166
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- Casa Grande, AZ
- NPI 1023048857
Ascension Towerbrook Healthcare Opportunities LP, FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (892), L.P., Towerbrook Investors V (Onshore) LP
-
- Community Based Hospice Care Agency
- Bullhead City, AZ
- NPI 1063653236
Ascension Capital LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Community Hospices of America, LLC., Compassus Holdings LP, Compassus Intermediate Inc, FC Compassus LLC, Ti V ASC Compassus Investment Aggregator L
-
- Community Based Hospice Care Agency
- Sedona, AZ
- NPI 1457381295
Ascension Capital LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Community Hospices of America, LLC., Compassus Holdings LP, Compassus Intermediate Inc, FC Compassus LLC, Ti V ASC Compassus Investment Aggregator L
-
- Community Based Hospice Care Agency
- Lakeside, AZ
- NPI 1568492304
Ascension Towerbrook Healthcare Opportunities LP, Community Hospices of America, LLC., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (892), L.P., Towerbrook Investor
-
- Community Based Hospice Care Agency
- Payson, AZ
- NPI 1568492395
Ascension Capital LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Community Hospices of America, LLC., Compassus Holdings LP, FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Ti V Compassus Investment
-
- Community Based Hospice Care Agency
- Yuma, AZ
- NPI 1659432243
Ascension Towerbrook Healthcare Opportunities LP, Community Hospices of America, LLC., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (892), L.P., Towerbrook Investor
-
dba Ascension Saint Thomas at Home
- Home Health Agency
- Centerville, TN
- NPI 1780462556
Ascension Capital LLC, Compassus Holdings LP, Compassus Intermediate Inc, FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Towerbrook Investors V (892), L.P., Towerbrook Investors V (Onshore) LP
-
- Community Based Hospice Care Agency
- Cedar Rapids, IA
- NPI 1003813908
Ascension Capital LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Community Hospices of America, LLC., Compassus Intermediate Inc, FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Ti V Compassus Inves
-
dba Ascension at Home
- Home Health Agency
- Jacksonville, FL
- NPI 1811590961
Ascension Capital LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Holdings LP, Compassus Intermediate Inc, FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Ti V Compassus Investment Aggregat
-
dba Ascension at Home
- Home Health Agency
- Pensacola, FL
- NPI 1245812205
Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Intermediate Inc, Compassus Parent Inc, FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Ti V Compassus Investment Aggregator, L.P., Towerbrook Inv
-
dba Ascension at Home
- Home Health Agency
- Lynn Haven, FL
- NPI 1790415131
Ascension Towerbrook Healthcare Opportunities LP, Compassus Holdings LP, Compassus Intermediate Inc, Compassus Parent Inc, FC Compassus LLC, Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (892), L.P., Towerbrook Investors V (Ons
-
- Community Based Hospice Care Agency
- Houston, TX
- NPI 1609963883
Ascension Towerbrook Healthcare Opportunities LP, FC Compassus LLC, Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (892), L.P., Towerbrook Investors V (Onshore) LP, Washington State Investment Board
Practitioners & affiliated clinicians
Practitioners 18
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.
-
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1275041428
-
- Family Nurse Practitioner
- Gilbert, AZ
- NPI 1225377898
-
- Family Nurse Practitioner
- Bullhead City, AZ
- NPI 1447787882
Family Medicine
-
- Family Nurse Practitioner
- Surprise, AZ
- NPI 1588385884
-
- Family Nurse Practitioner
- Scottsdale, AZ
- NPI 1881984342
-
- Nurse Practitioner
- Casa Grande, AZ
- NPI 1619436771
-
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1568795482
-
- Nurse Practitioner
- Cave Creek, AZ
- NPI 1932743119
-
- Family Nurse Practitioner
- Paradise Valley, AZ
- NPI 1861019390
Family Medicine
-
- Family Nurse Practitioner
- Eagar, AZ
- NPI 1386021400
-
- Family Nurse Practitioner
- Surprise, AZ
- NPI 1003450925
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": "1476144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676419200000",
"number": "1013467364",
"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": "37027",
"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": "5333 N 7TH ST STE C123",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850142815",
"telephone_number": "623-900-2645",
"fax_number": "855-553-7913"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPASSUS OP OF ARIZONA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-11",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"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": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Compassus - Phoenix",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Compassus - Phoenix",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Phoenix, AZ
- Compassionate Hearts LLC (Gem House Senior Care)
- Compassionate Senior Care LLC
- Compassionate Surgical Associates, PLLC
- Compassionate Ways LLC
- Compassionate Wound Care Inc
- Compassus Op of Arizona LLC (Compassus - Phoenix)
- Compassus Op of Arizona LLC (Compassus - Phoenix)
- Compcare LLC
- Compcare Medical Group Inc
- Michael Paul Compeaux, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.