Compassus Aah of Wisconsin IV, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

COMPASSUS AAH OF WISCONSIN IV, LLC

Doing business as

Compassus - Wausau

Practice address

1840 Post Rd Ste 5
Plover, WI 54467-2832

Phone

(715) 204-3440

Fax

(844) 887-0705

NPI assigned

Oct 1, 2020

Last updated

Oct 1, 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

Other names 1

• Compassus - Wausau Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114534344. Details of each certification follow.

• CCN 521532 Hospice · Active · Details

Hospice certification: CCN 521532

Legal name

COMPASSUS AAH OF WISCONSIN IV LLC

Doing business as

COMPASSUS - WAUSAU

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 1, 1991

Last certification

Mar 18, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Aug 3, 2020 in DE

Enrollment address

1840 Post Rd
Ste 5
Plover, WI 54467-2832

Listed as

Compassus WausauCCN 521532 · All quality measures

Ownership

For-Profit

Certified

Mar 1, 1991

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

All disclosed owners & managing parties 21

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.

• Thanmayi Kaza, MD

  • Family Medicine Physician
  • Appleton, WI
  • NPI 1053842492

  Contracted Managing Employee

  CMS ownership

Facilities with the same owner 166

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

• Compassus Aah of Wisconsin I, LLC

  dba Compassus - Neenah

  • Community Based Hospice Care Agency
  • Neenah, WI
  • NPI 1851908032

  Ascension Capital LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Aah Holdings LLC, Compassus Aah Holdings of Wisconsin LLC, Compassus Holdings LP, Compassus Intermediate Inc, Compassus Parent, Inc., FC

  CMS ownership
• Compassus Aah of Wisconsin II, LLC

  dba Compassus - Northern Wisconsin

  • Community Based Hospice Care Agency
  • Arbor Vitae, WI
  • NPI 1740897925

  Ascension Capital LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Aah Holdings LLC, Compassus Aah Holdings of Wisconsin LLC, Compassus Holdings LP, Compassus Intermediate Inc, Compassus Parent, Inc., FC

  CMS ownership
• Compassus Aah of Wisconsin III, LLC

  dba Compassus - Central Wisconsin

  • Community Based Hospice Care Agency
  • Marshfield, WI
  • NPI 1902413180

  Ascension Capital LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Community Hospices of America, LLC., Compassus Aah Holdings LLC, Compassus Aah Holdings of Wisconsin LLC, Compassus Holdings LP, Compassus Intermedi

  CMS ownership
• Compassus Aah of Wisconsin V, LLC

  dba Compassus - Milwaukee Metro

  • Community Based Hospice Care Agency
  • Milwaukee, WI
  • NPI 1356958532

  Ascension Capital LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Community Hospices of America, LLC., Compassus Aah Holdings LLC, Compassus Aah Holdings of Wisconsin LLC, Compassus Holdings LP, Compassus Intermedi

  CMS ownership
• Hospice Advantage, LLC

  dba Compassus - Milwaukee

  • Community Based Hospice Care Agency
  • Sheboygan, WI
  • NPI 1306883947

  Ascension Towerbrook Healthcare Opportunities LP, Community Hospices of America, LLC., Compassus Parent, Inc., FC Compassus LLC, Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (Onshore) LP

  CMS ownership
• Hospice Advantage, LLC,

  • Community Based Hospice Care Agency
  • Green Bay, WI
  • NPI 1801136643

  Ascension Towerbrook Healthcare Opportunities LP, 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., Towerbrook Investors V (Onshore

  CMS ownership
• Ministry Home Care LLC

  dba Compassus Home Health

  • Home Health Agency
  • Marshfield, WI
  • NPI 1245277144

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

  CMS ownership
• Ministry Home Care, LLC.

  dba Compassus Home Health

  • Home Health Agency
  • Rhinelander, WI
  • NPI 1366480089

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

  CMS ownership
• Ministry Home Care, LLC.

  dba Ascension at Home

  • Home Health Agency
  • Sturgeon Bay, WI
  • NPI 1376580365

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

  CMS ownership
• Ministry Home Care, LLC.

  dba Ascension at Home

  • Home Health Agency
  • Neenah, WI
  • NPI 1619914694

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

  CMS ownership
• Wheaton Franciscan Home Health & Hospice, LLC

  dba Ascension at Home

  • Home Health Agency
  • Milwaukee, WI
  • NPI 1003820861

  Ascension Capital LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Intermediate Inc, Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Ti V Compassus Investment Aggrega

  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

Change-of-ownership history 1

Change of ownership 1

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

• Ministry Home Care, LLC.

  dba Ascension at Home

  • Community Based Hospice Care Agency
  • Plover, WI
  • NPI 1376586701

  Acquired from, 2020-10-01

  CMS change of ownership

Affiliated clinicians 8

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

• Khadijah B Ahmad, MD

  • Family Medicine Physician
  • Wisc Rapids, WI
  • NPI 1386756534

  Hospice

  Care Compare affiliation
• Joseph J Arias, MD

  • Family Medicine Physician
  • Wisc Rapids, WI
  • NPI 1457463606

  Hospice

  Care Compare affiliation
• Terri A Hahn, MD

  • Internal Medicine Physician
  • Stevens Point, WI
  • NPI 1265587976

  Hospice

  Care Compare affiliation
• Michael Herbert Hoffman, MD

  • Family Medicine Physician
  • Manitowoc, WI
  • NPI 1013080894

  Hospice

  Care Compare affiliation
• Bart J Isaacson, MD

  • Internal Medicine Physician
  • Weston, WI
  • NPI 1689786824

  Hospice

  Care Compare affiliation
• Thanmayi Kaza, MD

  • Family Medicine Physician
  • Appleton, WI
  • NPI 1053842492

  Hospice

  Care Compare affiliation
• Ruth Mahmood, MD

  • Internal Medicine Physician
  • Weston, WI
  • NPI 1659518199

  Hospice

  Care Compare affiliation
• Hector Rey A Manzon, MD

  • Family Medicine Physician
  • Colby, WI
  • NPI 1205082237

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1114534344",
    "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": "417-841-4834",
            "fax_number": "866-955-8538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 POST RD STE 5",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "544672832",
            "telephone_number": "715-204-3440",
            "fax_number": "844-887-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSUS AAH OF WISCONSIN IV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassus - Wausau",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah E Bunting, MSW, LCSW
• Doreen Diane Butterfield, LPN
• C. Thomas Deroche, DPM, LLC
• Michele Caldwell, MS, CCC-SLP
• Colleen Hennelly, O.D.
• Cornerstone Clinic LLC
• Genesis Anne Cratsenberg
• Clare A Cullen, APNP
• Joshua Alan Deisinger, LPC, SAC-IT
• Daniel G. Derezinski, MS RADCI

• Community Based Hospice Care Agency in Plover, WI
• Providers in Plover, WI by specialty
• Community Based Hospice Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.