Active NPI
CP Ak Hospice, LLC
Doing business as Providence at Home with Compassus Hospice Care, Anchorage
- Community Based Hospice Care Agency
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- CP AK HOSPICE, LLC
- Doing business as
- Providence at Home with Compassus Hospice Care, Anchorage
- Practice address
- 4001 Dale Street
Suite 101
Anchorage, AK 99508-5444 - Phone
- (907) 212-4400
- NPI assigned
- Oct 30, 2024
- Last updated
- Oct 21, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
4001 Dale Street
Suite 101
Anchorage, AK 99508-5444
Mailing address
1341 W Battlefield
Springfield, MO 65807
Phone (417) 841-4834
Other names 1
- Providence at Home with Compassus Hospice Care, Anchorage
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250922003219 | AK | Part A Provider - Hospice | 3971025701 | Practice locations: Anchorage, AK |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1114749132. Details of each certification follow.
Hospice certification: CCN 021506
- Legal name
- CP AK HOSPICE, LLC
- Doing business as
- PROVIDENCE AT HOME WITH COMPASSUS HOSPICE CARE, ANCHORAGE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 15, 2006
- Last certification
- Nov 19, 2021
- Ownership / control type
- Proprietary - Other
- Organization structure
- LLC
- Enrollment address
- 4001 Dale St
Ste 101
Anchorage, AK 99508-5444
Care Compare: Hospice
Medicare Care Compare- Listed as
- Providence at Home With Compassus Hospice Care, Anchorage
- Ownership
- Other
- Certified
- Mar 15, 2006
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 02D1047077 | Providence at Home With Compassus Hospice Care | Certificate of waiver | Aug 7, 2026 |
National Provider Directory
National Provider DirectoryLocations
4001 Dale St
Ste 101
Anchorage, AK 99508
Phone (907) 550-2300
1341 W Battlefield St
Springfield, MO 65807
Phone (417) 222-2578
Ownership & related parties
All disclosed owners & managing parties 23
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Compassus Parent, Inc. | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 50% |
| John Cullen | Corporate Officer | Mar 1, 2025 | |
| FC Compassus LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 50% |
| CP Ak Hospice Holdings LLC | 5% Or Greater Direct Ownership Interest | Feb 27, 2025 | 100% |
| Catherine Sloan | Corporate Officer | Mar 1, 2025 | |
| Russell G Adkins | Corporate Officer | Mar 1, 2025 | |
| Ascension Towerbrook Healthcare Opportunties LP | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 23.83% |
| Ti V ASC Compassus Investment Aggregator, L.P. | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 48.75% |
| Providence Health & Services - Washington | 5% Or Greater Indirect Ownership Interest | Feb 27, 2025 | 50% |
| Sharon L Bergstedt | W-2 Managing Employee | Feb 27, 2025 | |
| Compassus Holdings LP | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 50% |
| CP TX Holdings LLC | 5% Or Greater Direct Ownership Interest | Feb 27, 2025 | 100% |
| Ascension Capital, LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 23.81% |
| Candice Schlafmann | Contracted Managing Employee | Feb 27, 2025 | |
| Ti V Compassus Investment Aggregator, L.P. | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 24.92% |
| Towerbrook Investors V (Onshore) LP | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 14.98% |
| Towerbrook Investors V (892), L.P. | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 7.11% |
| Providence Health & Services | 5% Or Greater Indirect Ownership Interest | Feb 27, 2025 | 100% |
| Compassus Providence Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Feb 27, 2025 | 100% |
| Compassus Intermediate, Inc. | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 50% |
| Michael Asselta | Corporate Officer | Mar 1, 2025 | |
| Providence St. Joseph Health | 5% Or Greater Indirect Ownership Interest | Feb 27, 2025 | 50% |
| Ascension Health Alliance | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 23.82% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Des Moines, IA
- NPI 1235511296
Contracted Managing Employee
Facilities with the same owner 292
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Providence St Elias Rehabilitation Unit
- Rehabilitation Hospital Unit
- Anchorage, AK
- NPI 1861045445
Providence Health & Services - Washington
-
- Long Term Care Hospital
- Anchorage, AK
- NPI 1912965021
Providence Health & Services - Washington
-
dba Providence Seward Medical Center
- Critical Access Hospital
- Seward, AK
- NPI 1396858155
Providence Health & Services - Washington
-
dba Providence Seward Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Seward, AK
- NPI 1649340217
Providence Health & Services - Washington
-
dba Providence Seward Mountain Haven
- Skilled Nursing Facility
- Seward, AK
- NPI 1821102757
Providence Health & Services, Providence Health & Services - Washington, Providence St. Joseph Health
-
dba Providence Valdez Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Valdez, AK
- NPI 1336247824
Providence Health & Services - Washington
-
dba Providence Valdez Medical Center
- Critical Access Hospital
- Valdez, AK
- NPI 1750485488
Providence Health & Services - Washington
-
dba Providence Valdez Medical Center
- Skilled Nursing Facility
- Valdez, AK
- NPI 1790715928
Providence Health & Services - Washington
-
dba Providence at Home with Compassus Home Health, Anchorage
- Home Health Agency
- Anchorage, AK
- NPI 1134941156
Ascension Health Alliance, Compassus Holdings LP, Compassus Intermediate, Inc., Compassus Parent, Inc., Compassus Providence Holdings, LLC, CP Ak Hospice Holdings LLC, CP TX Holdings LLC, FC Compassus LLC, Providence Health & Services, Providence
-
dba Providence Kodiak Island Medical Center
- Critical Access Hospital
- Kodiak, AK
- NPI 1013905660
Providence Health & Services - Washington
-
dba Providence Alaska Medical Center
- General Acute Care Hospital
- Anchorage, AK
- NPI 1053363119
Providence Health & Services - Washington
-
dba Providence Kodiak Island Medical Center
- Skilled Nursing Facility
- Kodiak, AK
- NPI 1790889400
Providence Health & Services - Washington
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Feb 27, 2025 | Change of Ownership | Providence Hospice Alaska |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Providence Hospice Alaska
- Community Based Hospice Care Agency
- Anchorage, AK
- NPI 1275869117
Acquired from, 2025-02-27
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1730246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761004800000",
"number": "1114749132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1341 W BATTLEFIELD",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "65807",
"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": "4001 DALE STREET",
"address_2": "SUITE 101",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085444",
"telephone_number": "907-212-4400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CP AK HOSPICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-30",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"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": "Providence at Home with Compassus Hospice Care, Anchorage",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.