Organization Active NPI

Compassus BSMH Lorain Hospice LLC

Doing business as Mercy Health New Life Hospice by Compassus

  • Community Based Hospice Care Agency
  • Lorain, OH
National Provider Identifier
1063230928
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
COMPASSUS BSMH LORAIN HOSPICE LLC
Doing business as
Mercy Health New Life Hospice by Compassus
Practice address
3500 Kolbe Rd
Lorain, OH 44053-1632
Phone
(440) 960-4900
NPI assigned
Sep 30, 2024
Last updated
Sep 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Russell Adkins
Title
SVP, Chief Legal Officer
Phone
(615) 926-0340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

3500 Kolbe Rd
Lorain, OH 44053-1632

Mailing address

10 Cadillac Dr Ste 400
Brentwood, TN 37027-1001
Phone (615) 637-9163

Other names 1

  • Mercy Health New Life Hospice by Compassus Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250227000289 OH Part A Provider - Hospice 8426578964 Practice locations: Lorain, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063230928. Details of each certification follow.

Hospice certification: CCN 361563

Legal name
COMPASSUS BSMH LORAIN HOSPICE, LLC
Doing business as
MERCY HEALTH HOME CARE BY COMPASSUS
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 4, 1993
Last certification
Jan 17, 2020
Ownership / control type
Non-Profit - Other
Organization structure
LLCProprietary
Enrollment address
3500 Kolbe Rd
Lorain, OH 44053-1632

Care Compare: Hospice

Medicare Care Compare
Listed as
Mercy Health-New Life HospiceCCN 361563 · All quality measures
Ownership
Non-Profit
Certified
May 4, 1993
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0867433Compassus BSMH Lorain Hospice, LLC3500 Kolbe Rd, Lorain, OH 44053Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member of 3

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

Ownership & related parties

All disclosed owners & managing parties 24

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

NameRoleSinceShare
Muawia Abushukur Individual Contracted Managing EmployeeMD; Apr 23, 2024
Billy Andrew Pate Individual Corporate Officer Jul 1, 2025
John Cullen Individual Corporate OfficerChief Financial Officer May 1, 2024
FC Compassus LLC Organization, Brentwood, TN LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2024 50%
Ascension Towerbrook Healthcare Opportunties LP Organization, New York, NY Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2024 23.83%
Towerbrook Investors V (Onshore) LP Organization, New York, NY Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2024 14.98%
St Francis Hospital Inc Organization, Cincinnati, OH Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 23, 2024 13.53%
Hospice of the Valley, Inc. Organization, Cincinnati, OH Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 23, 2024 15.29%
Compassus Holdings LP Organization, New York, NY Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2024 50%
BSMH Services LLC Organization, Cincinnati, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 23, 2024 71.18%
Bon Secours Mercy Health Inc Organization, Cincinnati, OH Corporation 5% Or Greater Indirect Ownership Interest Apr 23, 2024 100%
Laura a Templeton Individual Corporate OfficerExecutive Vice President, Coo Apr 12, 2023
Compassus BSMH Lorain Hospice Holdco LLC Organization, Cincinnati, OH LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 23, 2024 100%
Tanya L Gustafson Individual W-2 Managing EmployeeAd; Sep 23, 2024
Ti V Compassus Investment Aggregator, L.P. Organization, New York, NY Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2024 24.92%
Compassus BSMH Ohio LLC Organization, Cincinnati, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 23, 2024 100%
Compassus Intermediate Inc Organization, New York, NY Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2024 50%
Compassus BSMH Holdings LLC Organization, Cincinnati, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 23, 2024 100%
Mercy Health Youngstown, LLC Organization, Cincinnati, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 23, 2024 15.29%
Ascension Capital LLC Organization, Clayton, MO LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2024 23.82%
Towerbrook Investors V (892), L.P. Organization, New York, NY Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2024 7.11%
Michael Asselta Individual Corporate OfficerChief Executive Officer May 1, 2024
Ti V ASC Compassus Investment Aggregator LP Organization, New York, NY Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2024 48.75%
Ascension Health Alliance Organization, Clayton, MO Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2024 23.82%

Owners & managing parties with NPI records 10

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

Facilities with the same owner 243

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

View all 243

Change-of-ownership history 1

DateEventCounterparty
Apr 23, 2024 Change of OwnershipThis provider was the buyer Mercy Health - New Life HospiceCCN 361563, OH, NPI 1124056874

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1063230928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CADILLAC DR STE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271001",
            "telephone_number": "615-637-9163",
            "fax_number": "615-373-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 KOLBE RD",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531632",
            "telephone_number": "440-960-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSUS BSMH LORAIN HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "SVP, CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "615-926-0340"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Health New Life Hospice by Compassus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.