Organization Active NPI

Hospice Advantage, LLC.

  • Community Based Hospice Care Agency
  • Southaven, MS
National Provider Identifier
1134415433
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
183 Issued in MS
Legal business name
HOSPICE ADVANTAGE, LLC.
Practice address
6880 Cobblestone Blvd Ste 2
Southaven, MS 38672-9313
Phone
(662) 393-4033
Fax
(662) 393-4031
NPI assigned
Jun 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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) 926-0340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 183 MS Primary

Addresses

Primary practice location

6880 Cobblestone Blvd Ste 2
Southaven, MS 38672-9313

Mailing address

10 Cadillac Drive
Suite 400
Brentwood, TN 37027-1001
Phone (615) 377-7022

Other names 2

  • Compassus - Memphis Doing business as
  • Hospice Advantage, Inc. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110816000520 MS Part A Provider - Hospice 3779544960 Practice locations: Southaven, MS

Hospice certification: CCN 251656

Legal name
HOSPICE ADVANTAGE LLC
Doing business as
COMPASSUS MEMPHIS
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 2, 2009
Last certification
Oct 1, 2009
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Sep 8, 2004 in FL
Enrollment address
6880 Cobblestone Blvd
Ste 2
Southaven, MS 38672-9313

Care Compare: Hospice

Medicare Care Compare
Listed as
Compassus-MemphisCCN 251656
Ownership
For-Profit
Certified
Dec 2, 2009
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
25D2028578Compassus - Memphis6880 Cobblestone Blvd, Suite 2, Southaven, MS 38672Certificate of waiverAug 18, 2027

National Provider Directory

National Provider Directory
Tax ID family
Hospice Advantage LLC37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

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

View all 36

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

6880 Cobblestone Blvd
Ste 2
Southaven, MS 38672
Phone (662) 393-4033

Ownership & related parties

All disclosed owners & managing parties 20

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 LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 7, 2015 100%
Dorothy a House Individual W-2 Managing EmployeeAd; Mar 21, 2023
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 Officer Oct 7, 2015
Operational/Managerial Control Oct 7, 2015
OtherAuthorized Official Sep 9, 2019
Towerbrook Investors V 892 LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 14.14%
Ascension Towerbrook Healthcare Opportunities LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.5%
Compassus Holdings LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
Laura a Templeton Individual Corporate OfficerEvp, Chief Operating Officer Apr 12, 2023
Operational/Managerial ControlEvp, Chief Operating Officer Apr 12, 2023
Ti V Compassus Investment Aggregator, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.5%
Hospice Advantage Midco LLC Organization, Brentwood, TN Created for acquisition, For-profit 5% Or Greater Direct Ownership Interest Oct 7, 2015 100%
Compassus Intermediate Inc Organization, New York, NY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
Towerbrook Investors V (Onshore) LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 29.75%
Hospice Advantage Holdings, LLC Organization, Brentwood, TN Created for acquisition, For-profit 5% Or Greater Indirect Ownership Interest Dec 14, 2012 100%
Ascension Capital LLC Organization, Clayton, MO LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.48%
FC Compassus Hospice Blocker, LLC Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 7, 2015 13%
Ki Mun Chang Individual Contracted Managing EmployeeMD; Jan 1, 2016
Ascension Health Alliance Organization, Clayton, MO Non-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.48%
Michael Asselta Individual Corporate OfficerCeo May 2, 2024
Operational/Managerial ControlCeo May 2, 2024
Ti V ASC Compassus Investment Aggregator LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 99%

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Compassus-FlorenceFlorence, AL, CCN 011678 Hospice 5% Or Greater Direct Ownership Interest (100%) Dec 14, 2012
Compassus- North Georgia IIEast Ellijay, GA, CCN 111682 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 7, 2015
Compassus - AuburnAuburn, AL, CCN 011528 Hospice 5% Or Greater Direct Ownership Interest (100%) Dec 14, 2012

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 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": "1308873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1134415433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CADILLAC DRIVE",
            "address_2": "SUITE 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": "6880 COBBLESTONE BLVD STE 2",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386729313",
            "telephone_number": "662-393-4033",
            "fax_number": "662-393-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE ADVANTAGE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-24",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "SVP GENERAL COUNSEL",
        "authorized_official_telephone_number": "615-926-0340"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassus - Memphis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hospice Advantage, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Southaven, MS

Sources for this page

Verify at the official NPI Registry.