Organization Active NPI

Life Choice Hospice of Maine, LLC

  • Community Based Hospice Care Agency
  • Scarborough, ME
National Provider Identifier
1144573403
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LIFE CHOICE HOSPICE OF MAINE, LLC
Practice address
163 US Route 1
Scarborough, ME 04074-9060
Phone
(207) 761-6967
Fax
(207) 772-6240
NPI assigned
Oct 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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 Primary

Addresses

Primary practice location

163 US Route 1
Scarborough, ME 04074-9060

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130204000533 ME Part A Provider - Hospice 4082868740 Practice locations: Scarborough, ME

Hospice certification: CCN 201519

Legal name
LIFE CHOICE HOSPICE OF MAINE LLC
Doing business as
COMPASSUS - GREATER MAINE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 27, 2007
Last certification
Dec 21, 2018
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Aug 10, 2012 in DE
Enrollment address
163 US Route 1
Scarborough, ME 04074-9060

Care Compare: Hospice

Medicare Care Compare
Listed as
Compassus - Greater MaineCCN 201519
Ownership
For-Profit
Certified
Jun 27, 2007
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
20D2018040Compassus - Greater Maine163 US Route One, Scarborough, ME 04074Certificate of waiverDec 21, 2026

National Provider Directory

National Provider Directory

Locations

163 US Route 1
Scarborough, ME 04074
Phone (207) 761-6967

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 Dec 22, 2014 100%
Dianne E Vigue Individual W-2 Managing EmployeeAd; Sep 1, 2021
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 OfficerManager Apr 1, 2015
Operational/Managerial ControlSVP General Counsel Apr 1, 2015
OtherAuthorized Official Apr 1, 2015
Compassus Holdings, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
David F Grams Individual Corporate OfficerCeo Jan 31, 2022
Operational/Managerial ControlCeo Jan 31, 2022
Ti V ASC Compassus Investment Aggregator, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 99%
National Hospice Holdings of Maine, LLC Organization, Dresher, PA For-profit 5% Or Greater Direct Ownership Interest Jul 31, 2013 100%
Ascension Towerbrook Healthcare Opportunities LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.5%
Ascension Capital, LLC Organization, Clayton, MO LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.48%
Laura a Templeton Individual Corporate OfficerEvp, Chief Operating Officer Apr 12, 2023
Operational/Managerial ControlEvp, Chief Operating Officer Apr 12, 2023
Ascension Health Alliance Organization, Clayton, MO Non-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.48%
Community Hospices of America, LLC. Organization, Brentwood, TN Corporation, For-profit Other Dec 22, 2014
Ti V Compassus Investment Aggregator, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.5%
Kirsten a Berman Individual Contracted Managing EmployeeMD; Oct 1, 2018
Towerbrook Investors V (Onshore) LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 29.75%
FC Compassus Sub LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 31, 2015 100%
Towerbrook Investors V (892), L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 14.14%
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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 9

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": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1144573403",
    "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": "163 US ROUTE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749060",
            "telephone_number": "207-761-6967",
            "fax_number": "207-772-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHOICE HOSPICE OF MAINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2019-01-16",
        "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": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.