Organization Active NPI

Community Hospices of America, LLC

Doing business as Hospice Compassus - Northwest Illinois

  • Community Based Hospice Care Agency
  • Galesburg, IL
National Provider Identifier
1063514800
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
072 Issued in IL
Legal business name
COMMUNITY HOSPICES OF AMERICA, LLC
Doing business as
Hospice Compassus - Northwest Illinois
Practice address
799 N Henderson St
Galesburg, IL 61401-2515
Phone
(309) 342-3007
Fax
(309) 342-6973
NPI assigned
Sep 2, 2006
Last updated
Jul 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 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 072 IL Primary

Addresses

Primary practice location

799 N Henderson St
Galesburg, IL 61401-2515

Mailing address

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

Other names 1

  • Hospice Compassus - Northwest Illinois Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051107000311 IL Part A Provider - Hospice 4385552660 Practice locations: Galesburg, IL; Moline, IL; Peoria, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063514800. Details of each certification follow.

Hospice certification: CCN 141581

Legal name
COMMUNITY HOSPICES OF AMERICA LLC
Doing business as
HOSPICE COMPASSUS - NORTHWEST ILLINOIS
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 17, 1995
Last certification
Dec 1, 2018
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Enrollment address
799 N Henderson St
Galesburg, IL 61401-2515

Other NPIs with the same Medicare PAC ID 10

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice Compassus - Northwest IllinoisCCN 141581 · All quality measures
Ownership
For-Profit
Certified
May 17, 1995
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
14D1017810Hospice Compassus - Northwest Illinois799 N Henderson St, Galesburg, IL 61401Certificate of waiverOct 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
Community Hospices LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

755 N Henderson St
Galesburg, IL 61401

Ownership & related parties

All disclosed owners & managing parties 18

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%
Billy Andrew Pate Individual Corporate OfficerEvp/Coo Jul 1, 2025
John Cullen Individual Corporate OfficerEvp/Cfo Jul 1, 2025
FC Compassus LLC Organization, Alpharetta, GA LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 22, 2014 100%
Compassus Holdings, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
Ti V ASC Compassus Investment Aggregator, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019
CLP Healthcare Services LLC Organization, Brentwood, TN For-profit 5% Or Greater Indirect Ownership Interest Dec 22, 2014
Ascension Towerbrook Healthcare Opportunites LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.5%
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 Operations Officer Apr 12, 2023
Operational/Managerial ControlEvp, Chief Operations Officer Apr 12, 2023
Ascension Health Alliance Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.5%
Towerbrook Investors V (Onshore) LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 29.75%
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, New York, NY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
Michael Asselta Individual Corporate OfficerCeo Jul 1, 2025
Carl E Strauch Individual Contracted Managing EmployeeMD; Jun 1, 1992
Ti V ASC Compassus Investment Aggregator LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 99%
Jon Bowman Individual W-2 Managing EmployeeAd; May 21, 2025

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 36

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 36

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1063514800",
    "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": "799 N HENDERSON ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012515",
            "telephone_number": "309-342-3007",
            "fax_number": "309-342-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPICES OF AMERICA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "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": "IL",
            "license": "072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice Compassus - Northwest Illinois",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galesburg, IL

Sources for this page

Verify at the official NPI Registry.