Rta Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

RTA HOSPICE, LLC

Practice address

2755 Silver Creek Rd Ste 211
Bullhead City, AZ 86442-8347

Phone

(928) 763-6433

Fax

(928) 763-6437

NPI assigned

Mar 17, 2009

Last updated

Mar 12, 2020By the provider in NPPES

Organization subpart

No

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

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063653236. Details of each certification follow.

• CCN 031581 Hospice · Active · Details

Hospice certification: CCN 031581

Legal name

RTA HOSPICE LLC

Doing business as

HOSPICE COMPASSUS-BULLHEAD CITY

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 20, 2008

Last certification

Jul 15, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Jan 7, 2020 in AZ

Enrollment address

2755 Silver Creek Rd
Ste 211
Bullhead City, AZ 86442-8347

Other NPIs with the same Medicare PAC ID 5

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

• Rta Hospice, LLC

  • Community Based Hospice Care Agency
  • Casa Grande, AZ
  • NPI 1023048857

  7911969829

  Same PAC ID
• Rta Hospice, LLC

  • Community Based Hospice Care Agency
  • Sedona, AZ
  • NPI 1457381295

  7911969829

  Same PAC ID
• Rta Hospice, LLC

  • Community Based Hospice Care Agency
  • Lakeside, AZ
  • NPI 1568492304

  7911969829

  Same PAC ID
• Rta Hospice, LLC

  • Community Based Hospice Care Agency
  • Payson, AZ
  • NPI 1568492395

  7911969829

  Same PAC ID
• Rta Hospice, LLC

  • Community Based Hospice Care Agency
  • Yuma, AZ
  • NPI 1659432243

  7911969829

  Same PAC ID

Listed as

Hospice Compassus - Bullhead CityCCN 031581 · All quality measures

Ownership

For-Profit

Certified

Nov 20, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Hospice Compassus - Sedonaflagstaff9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

• Rta Hospice, Inc.

  dba RTA Hospice & Palliative Care - Bullhead City

  • Community Based Hospice Care Agency
  • Bullhead City, AZ
  • NPI 1952589483
  NPD tax ID
• Rta Hospice, LLC

  dba Hospice Compassus - Sedona/Flagstaff

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Flagstaff, AZ
  • NPI 1124784707
  NPD tax ID
• Rta Hospice, LLC

  dba Hospice Compassus - Sedona/Flagstaff

  • Community Based Hospice Care Agency
  • Prescott Valley, AZ
  • NPI 1285258434
  NPD tax ID
• Rta Hospice, LLC

  • Community Based Hospice Care Agency
  • Payson, AZ
  • NPI 1568492395
  NPD tax ID
• Rta Hospice, LLC

  dba Hospice Compassus - Sedona/Flagstaff

  • Community Based Hospice Care Agency
  • Flagstaff, AZ
  • NPI 1649894809
  NPD tax ID
• Rta Hospice, LLC

  • Community Based Hospice Care Agency
  • Yuma, AZ
  • NPI 1659432243
  NPD tax ID
• Rta Hospice, LLC

  dba Hospice Compassus - Sedona/Flagstaff

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Prescott Valley, AZ
  • NPI 1770249336
  NPD tax ID
• Rta Hospice, LLC

  dba Hospice Compassus - Bullhead City

  • Community Based Hospice Care Agency
  • Lake Havasu City, AZ
  • NPI 1811545536
  NPD tax ID

Locations

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.

Owners & managing parties with NPI records 1

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

• Lorene Ruth Mann, MD

  • Internal Medicine Physician
  • Harrisburg, PA
  • NPI 1851646814

  Contracted Managing Employee

  CMS ownership

Facilities with the same owner 162

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

• Compassus Op of Arizona LLC

  dba Compassus - Phoenix

  • Community Based Hospice Care Agency
  • Phoenix, AZ
  • NPI 1013467364

  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

  CMS ownership
• Rta Hospice, LLC

  • Community Based Hospice Care Agency
  • Casa Grande, AZ
  • NPI 1023048857

  Ascension Towerbrook Healthcare Opportunities LP, CLP Healthcare Services LLC, Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (Onshore) LP

  CMS ownership
• Rta Hospice, LLC

  • Community Based Hospice Care Agency
  • Sedona, AZ
  • NPI 1457381295

  Ascension Capital LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, CLP Healthcare Services LLC, Community Hospices of America, LLC., Compassus Holdings LP, Compassus Intermediate Inc, Compassus Parent, Inc., FC Com

  CMS ownership
• Rta Hospice, LLC

  • Community Based Hospice Care Agency
  • Lakeside, AZ
  • NPI 1568492304

  Ascension Towerbrook Healthcare Opportunities LP, CLP Healthcare Services LLC, Community Hospices of America, LLC., Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Ti V Compassus Investment Aggregator, L.P., T

  CMS ownership
• Rta Hospice, LLC

  • Community Based Hospice Care Agency
  • Payson, AZ
  • NPI 1568492395

  Ascension Capital LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, CLP Healthcare Services LLC, Community Hospices of America, LLC., Compassus Holdings LP, Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compass

  CMS ownership
• Rta Hospice, LLC

  • Community Based Hospice Care Agency
  • Yuma, AZ
  • NPI 1659432243

  Ascension Towerbrook Healthcare Opportunities LP, CLP Healthcare Services LLC, Community Hospices of America, LLC., Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Ti V Compassus Investment Aggregator, L.P., T

  CMS ownership
• Aah of Tennessee I, LLC

  dba Ascension Saint Thomas at Home

  • Home Health Agency
  • Centerville, TN
  • NPI 1780462556

  Ascension Capital LLC, Compassus Holdings LP, Compassus Intermediate Inc, Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Towerbrook Investors V (Onshore) LP

  CMS ownership
• Amenity Healthcare, LLC

  • Community Based Hospice Care Agency
  • Cedar Rapids, IA
  • NPI 1003813908

  Ascension Capital LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, CLP Healthcare Services LLC, Community Hospices of America, LLC., Compassus Intermediate Inc, Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Co

  CMS ownership
• Ascension Health at Home of Florida I, LLC

  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, Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Ti V Comp

  CMS ownership
• Ascension Health at Home of Florida II, LLC

  dba Ascension at Home

  • Home Health Agency
  • Pensacola, FL
  • NPI 1245812205

  Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Intermediate Inc, FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (Onshore) LP

  CMS ownership
• Ascension Health at Home of Florida III, LLC

  dba Ascension at Home

  • Home Health Agency
  • Lynn Haven, FL
  • NPI 1790415131

  Ascension Towerbrook Healthcare Opportunities LP, Compassus Holdings LP, Compassus Intermediate Inc, FC Compassus LLC, Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (Onshore) LP

  CMS ownership
• Asperion Hospice of Houston, LP

  • Community Based Hospice Care Agency
  • Houston, TX
  • NPI 1609963883

  Ascension Towerbrook Healthcare Opportunities LP, CLP Healthcare Services LLC, Compassus Parent, Inc., FC Compassus LLC, Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (Onshore) LP

  CMS ownership

Affiliated clinicians 1

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

• Lorene Ruth Mann, MD

  • Internal Medicine Physician
  • Harrisburg, PA
  • NPI 1851646814

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1063653236",
    "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": "2755 SILVER CREEK RD STE 211",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428347",
            "telephone_number": "928-763-6433",
            "fax_number": "928-763-6437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RTA HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "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": []
}

• Steven Lawrence Rosinski, MD, PHD
• Blaine M Ross, MD
• Lawrence Mark Rothenberg, M.D.
• Jude Ritheesh Roy, DDS
• Rta Hospice, Inc. (RTA Hospice & Palliative Care - Bullhead City)
• Rta Hospice, LLC (Hospice Compassus - Bullhead City)
• Safeway Inc (Safeway Pharmacy #0248)
• Beverly J. Sailors, LCSW
• Maria D Salamatin, MD
• Anthony Vincent Salari, NP

• Community Based Hospice Care Agency in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Community Based Hospice Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.

Verify at the official NPI Registry.