Active NPI
CP Seattle Wa Hospice, LLC
Doing business as Providence at Home with Compassus Hospice Care, Puget Sound
- Community Based Hospice Care Agency
- Tukwila, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- CP SEATTLE WA HOSPICE, LLC
- Doing business as
- Providence at Home with Compassus Hospice Care, Puget Sound
Providence at Home with Compassus Palliative Care, Puget Sound - Practice address
- 2811 S 102ND Street
Suite 220
Tukwila, WA 98168-1869 - Phone
- (206) 320-4000
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | |||
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
2811 S 102ND Street
Suite 220
Tukwila, WA 98168-1869
Mailing address
1341 W Battlefield
Suite 110
Springfield, MO 65807
Phone (417) 841-4834
Other names 2
- Providence at Home with Compassus Hospice Care, Puget Sound
- Providence at Home with Compassus Palliative Care, Puget Sound
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 2
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1174345193. Details of each certification follow.
Hospice certification: CCN 501515
- Legal name
- CP SEATTLE WA HOSPICE LLC
- Doing business as
- PROVIDENCE AT HOME WITH COMPASSUS HOSPICE CARE, PUGET SOUND
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Sep 1, 1987
- Last certification
- Aug 26, 2021
- Ownership / control type
- Non-Profit - Church
- Most recent change of ownership
- Feb 27, 2025
- Organization structure
- LLC
- Enrollment address
- 2811 S 102ND St
Ste 220
Tukwila, WA 98168-1869
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Providence at Home with Compassus Palliative Care, Puget Sound
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Tukwila, WA
- NPI 1528861432
0042733222
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Providence at Home with Compassus Palliative Care, Puget Sound
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Tukwila, WA
- NPI 1528861432
O20250625002394
Care Compare: Hospice
Medicare Care Compare- Listed as
- Providence at Home With Compassus Hospice Care, Puget Sound
- Ownership
- Non-Profit
- Certified
- Sep 1, 1987
- 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 |
|---|---|---|---|
| 50D0707391 | Providence at Home With Compassus Hospice Care | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 24
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 | |
| David C Brunelle | Contracted Managing Employee | Feb 27, 2025 | |
| FC Compassus LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 50% |
| Catherine Sloan | Corporate Officer | Mar 1, 2025 | |
| Russell G Adkins | Corporate Officer | Mar 1, 2025 | |
| Towerbrook Investors V 892 LP | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 7.11% |
| 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% |
| CP Wa Holdings LLC | 5% Or Greater Indirect Ownership Interest | Feb 27, 2025 | 100% |
| Ascension Towerbrook Healthcare Opportunities LP | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 23.83% |
| Stacey L Jones | 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% |
| Ti V Compassus Investment Aggregator, L.P. | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 24.92% |
| Compassus Intermediate Inc | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 50% |
| Towerbrook Investors V (Onshore) LP | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 14.98% |
| Ascension Capital LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 23.82% |
| CP Seattle Wa Hospice Holding LLC | 5% Or Greater Direct Ownership Interest | Feb 27, 2025 | 100% |
| Providence Health & Services | 5% Or Greater Indirect Ownership Interest | Feb 27, 2025 | 50% |
| Compassus Providence Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Feb 27, 2025 | 100% |
| 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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- University Place, WA
- NPI 1710906011
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 at Home with Compassus Home Health, King
- Home Health Agency
- Tukwila, WA
- NPI 1972325983
Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Parent, Inc., Compassus Providence Holdings, LLC, CP Wa Holdings LLC, FC Compassus LLC, Providence Health & Services, Providence Health & Services - Washington ·
-
dba Providence at Home with Compassus Home Health, Snohomish County
- Community Based Hospice Care Agency
- Everett, WA
- NPI 1184446221
Ascension Capital LLC, Ascension Health Alliance, Compassus Holdings LP, Compassus Intermediate Inc, Compassus Parent, Inc., Compassus Providence Holdings, LLC, CP Wa Holdings LLC, FC Compassus LLC, Providence Health & Services, Providence Health
-
dba Providence at Home with Compassus Hospice Care, Snohomish County
- Home Health Agency
- Everett, WA
- NPI 1720800857
Ascension Capital LLC, Ascension Health Alliance, Compassus Holdings LP, Compassus Intermediate Inc, Compassus Parent, Inc., Compassus Providence Holdings, LLC, CP Wa Holdings LLC, FC Compassus LLC, Providence Health & Services, Providence Health
-
dba Providence at Home with Compassus Hospice Care, Puget Sound South
- Community Based Hospice Care Agency
- Lacey, WA
- NPI 1659193795
Ascension Capital LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Holdings LP, Compassus Intermediate Inc, Compassus Parent, Inc., Compassus Providence Holdings, LLC, CP Wa Holdings LLC, FC Compassus LLC
-
dba Providence at Home with Compassus Home Health, Puget Sound South
- Home Health Agency
- Lacey, WA
- NPI 1669294708
Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Holdings LP, Compassus Intermediate Inc, Compassus Parent, Inc., Compassus Providence Holdings, LLC, CP Wa Holdings LLC, FC Compassus LLC, Providence Health & S
-
dba Providence at Home with Compassus Home Health, INWA
- Home Health Agency
- Spokane Valley, WA
- NPI 1033931043
Ascension Capital LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Holdings LP, Compassus Parent, Inc., Compassus Providence Holdings, LLC, CP Wa Holdings LLC, FC Compassus LLC, Providence Health & Servic
-
dba Providence at Home with Compassus Home Health, Walla Walla
- Home Health Agency
- Walla Walla, WA
- NPI 1730901745
Ascension Health Alliance, Compassus Holdings LP, Compassus Parent, Inc., Compassus Providence Holdings, LLC, CP Wa Holdings LLC, FC Compassus LLC, Providence Health & Services, Providence Health & Services - Washington, Providence St. Joseph Heal
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
Providence Health & Services - Washington
-
dba Providence Swedish Rehabilitation Hospital
- Rehabilitation Hospital
- Lynnwood, WA
- NPI 1306628821
Providence Health & Services - Washington
-
dba Prov Scred Hrt Med Ctr & Chlds Hos
- General Acute Care Hospital
- Spokane, WA
- NPI 1144471715
Providence Health & Services, Providence Health & Services - Washington, Providence St. Joseph Health
-
dba Providence St Joseph Hospital
- Medicare Defined Swing Bed Hospital Unit
- Chewelah, WA
- NPI 1447402839
Providence Health & Services, Providence Health & Services - Washington, Providence St. Joseph Health
-
dba Prov Scred Hrt Med Ctr & Chlds Hos
- Psychiatric Hospital Unit
- Spokane, WA
- NPI 1639320484
Providence Health & Services, Providence Health & Services - Washington, Providence St. Joseph Health
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Feb 27, 2025 | Change of Ownership | Providence Hospice of Seattle |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Providence Hospice of Seattle
- Community Based Hospice Care Agency
- Seattle, WA
- NPI 1689827321
Acquired from, 2025-02-27
Practitioners & affiliated clinicians
Practitioners 12
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- University Place, WA
- NPI 1710906011
-
- Adult Health Nurse Practitioner
- Lynnwood, WA
- NPI 1386740058
-
- Family Medicine Physician
- Seattle, WA
- NPI 1639280191
-
- Family Nurse Practitioner
- Redmond, WA
- NPI 1184942526
-
- Geriatric Medicine (Family Medicine) Physician
- Mercer Island, WA
- NPI 1932151446
-
- Registered Nurse
- Federal Way, WA
- NPI 1770198400
-
- Family Nurse Practitioner
- Redmond, WA
- NPI 1376207027
-
- Adult Health Nurse Practitioner
- Seattle, WA
- NPI 1023395795
-
- Family Medicine Physician
- Tukwila, WA
- NPI 1306251509
-
- Family Medicine Physician
- Tukwila, WA
- NPI 1316910946
-
- Nurse Practitioner
- Mill Creek, WA
- NPI 1710316682
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Tukwila, WA
- NPI 1821099672
Affiliated clinicians 12
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": "1174345193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1341 W BATTLEFIELD",
"address_2": "SUITE 110",
"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": "2811 S 102ND STREET",
"address_2": "SUITE 220",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981681869",
"telephone_number": "206-320-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CP SEATTLE WA 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": "207RH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Providence at Home with Compassus Hospice Care, Puget Sound",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Providence at Home with Compassus Palliative Care, Puget Sound",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tukwila, WA
- Morgan Alicia Cowger
- Cowlitz Indian Tribe
- Michaela Colleen Cox, LMHCA
- Mya Janay Cox, MSW, LSWAIC
- CP King County Wa HH, LLC (Providence at Home with Compassus Home Health, King)
- CP Seattle Wa Hospice, LLC (Providence at Home with Compassus Palliative Care, Puget Sound)
- Robin R Crabtree
- Italia Crichton
- Jackie Crisp
- Edgar P Crockett, OD
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.