Organization Active NPI

Community Hospices of America, LLC

Doing business as Hospice Compassus - Central Missouri

  • Community Based Hospice Care Agency
  • Jefferson City, MO
National Provider Identifier
1023070984
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
125-2HO Issued in MO
Legal business name
COMMUNITY HOSPICES OF AMERICA, LLC
Doing business as
Hospice Compassus - Central Missouri
Practice address
3405 W Truman Blvd Ste 210
Jefferson City, MO 65109-5861
Phone
(573) 556-3547
Fax
(573) 556-6597
NPI assigned
Apr 5, 2006
Last updated
Feb 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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 125-2HO MO Primary

Addresses

Primary practice location

3405 W Truman Blvd Ste 210
Jefferson City, MO 65109-5861

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
827944505MedicaidMO

Other names 1

  • Hospice Compassus - Central Missouri Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090420000544 MO Part A Provider - Hospice 4385552660 Practice locations: Jefferson City, MO; Osage Beach, MO
O20150515002003 MO Part B Supplier - Clinic/Group Practice 4385552660 Receives reassigned benefits from 21 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbia, MO; Jefferson City, MO; Macon, MO; Mountain Grove, MO; Osage Beach, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023070984. Details of each certification follow.

Hospice certification: CCN 261559

Legal name
COMMUNITY HOSPICES OF AMERICA LLC
Doing business as
HOSPICE COMPASSUS - CENTRAL MISSOURI
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 29, 1995
Last certification
Jun 7, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Jun 19, 1997 in MO
Enrollment address
3405 W Truman Blvd
Ste 210
Jefferson City, MO 65109-5861

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice Compassus-Central MissouriCCN 261559 · All quality measures
Ownership
For-Profit
Certified
Mar 29, 1995
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

600 Monroe St
Ste 100
Jefferson City, MO 65101
Phone (573) 556-3547

Ownership & related parties

All disclosed owners & managing parties 19

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, Alpharetta, GA For-profit 5% Or Greater Indirect Ownership Interest Dec 22, 2014 100%
Russell G Adkins Individual Corporate OfficerVP Dec 22, 2014
Compassus Holdings, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
David F Grams Individual Corporate OfficerCeo Jan 31, 2022
Operational/Managerial ControlCeo Jan 31, 2022
Ti V ASC Compassus Investment Aggregator, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 99%
CLP Healthcare Services LLC Organization, Brentwood, TN For-profit 5% Or Greater Direct Ownership Interest Dec 22, 2014 100%
Ascension Towerbrook Healthcare Opportunities LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.5%
Michael Griswold Individual Contracted Managing EmployeeMD; Mar 25, 2020
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 OfficerEvp, Chief Operating Officer Apr 12, 2023
Operational/Managerial ControlEvp, Chief Operating Officer Apr 12, 2023
Ascension Health Alliance Organization, Clayton, MO Non-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.48%
Community Hospices of America, LLC. Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 22, 2014 100%
Ti V Compassus Investment Aggregator, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.5%
Washington State Investment Board Organization, Olympia, WA For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 5.24%
Towerbrook Investors V (Onshore) LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 29.75%
Samantha L Green Individual W-2 Managing EmployeeAd; Mar 28, 2022
Towerbrook Investors V (892), L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 14.14%
Compassus Intermediate, Inc. Organization, Brentwood, TN Corporation 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Hospice Compassus JoplinJoplin, MO, CCN 261593 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jan 6, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 162

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

View all 162

Practitioners & affiliated clinicians

Affiliated clinicians 12

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": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1023070984",
    "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": "3405 W TRUMAN BLVD STE 210",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095861",
            "telephone_number": "573-556-3547",
            "fax_number": "573-556-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPICES OF AMERICA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "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": "MO",
            "license": "125-2HO",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "827944505",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice Compassus - Central Missouri",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hospice Compassus - Central Missouri",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jefferson City, MO

Sources for this page

Verify at the official NPI Registry.