Organization Active NPI

Life Choice Hospice of New Mexico, LLC

Doing business as Compassus - Santa Fe

  • Community Based Hospice Care Agency
  • Santa Fe, NM
National Provider Identifier
1114271830
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LIFE CHOICE HOSPICE OF NEW MEXICO, LLC
Doing business as
Compassus - Santa Fe
Practice address
1692 Hospital Dr Ste 101
Santa Fe, NM 87505-4754
Phone
(505) 983-9212
Fax
(505) 983-0860
NPI assigned
Nov 2, 2012
Last updated
Mar 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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 NU Primary

Addresses

Primary practice location

1692 Hospital Dr Ste 101
Santa Fe, NM 87505-4754

Mailing address

10 Cadillac Dr Ste 400
Brentwood, TN 37027-1001
Phone (615) 377-7022

Other names 1

  • Compassus - Santa Fe Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130312000551 NM Part A Provider - Hospice 8123273463 Practice locations: Santa Fe, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114271830. Details of each certification follow.

Hospice certification: CCN 321557

Legal name
LIFE CHOICE HOSPICE OF NEW MEXICO LLC
Doing business as
COMPASSUS- SANTA FE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 23, 2005
Last certification
Oct 21, 2020
Ownership / control type
Other
Organization structure
LLCProprietary
Incorporated
Aug 10, 2012 in DE
Enrollment address
1692 Hospital Dr
Ste 101
Santa Fe, NM 87505-4754

Care Compare: Hospice

Medicare Care Compare
Listed as
Compassus- Santa FeCCN 321557 · All quality measures
Ownership
Other
Certified
May 23, 2005
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
32D1104461Compassus - Santa Fe1692 Hospital Drive, Suite 101, Santa Fe, NM 87505Certificate of waiverSep 2, 2027

National Provider Directory

National Provider Directory

Locations

130 Siringo Rd
Ste 203
Santa Fe, NM 87505
Phone (505) 982-9550

1692 Hospital Dr
Ste 101
Santa Fe, NM 87505
Phone (505) 983-9212

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%
FC Compassus LLC Organization, Brentwood, TN For-profit 5% Or Greater Indirect Ownership Interest Mar 31, 2015 100%
Washington State Investment Board Organization, Olympia, WA For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 5.24%
Russell G Adkins Individual Corporate OfficerSVP General Counsel Dec 1, 2017
Operational/Managerial Control Mar 26, 2015
Compassus Holdings, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
Towerbrook Investors V 892 LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 14.14%
Ti V ASC Compassus Investment Aggregator, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 99%
Ascension Towerbrook Healthcare Opportunities LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.5%
Laura a Templeton Individual Corporate OfficerEvp, Chief Operating Officer Apr 12, 2023
Operational/Managerial ControlEvp, Chief Operating Officer Apr 12, 2023
National Hospice Holdings of New Mexico LLC Organization, Brentwood, TN For-profit 5% Or Greater Direct Ownership Interest Jul 31, 2013 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%
Elizabeth E Ross Individual W-2 Managing EmployeeAd; Oct 6, 2023
Towerbrook Investors V (Onshore) LP Organization, Brentwood, TN For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 29.75%
Ascension Capital LLC Organization, Clayton, MO LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019
FC Compassus Sub LLC Organization, Brentwood, TN For-profit 5% Or Greater Indirect Ownership Interest Mar 31, 2015 100%
Caroline Kingston Individual Contracted Managing EmployeeMD; Nov 1, 2022
Ascension Health Alliance Organization, Clayton, MO For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.48%
Compassus Intermediate, Inc. Organization, New York, NY Corporation, For-profit 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.

Facilities with the same owner 166

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

View all 166

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1114271830",
    "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": "615-377-7022",
            "fax_number": "615-373-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1692 HOSPITAL DR STE 101",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054754",
            "telephone_number": "505-983-9212",
            "fax_number": "505-983-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHOICE HOSPICE OF NEW MEXICO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-02",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "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 - Santa Fe",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Compassus - Santa Fe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.