Organization Active NPI

CP Snohomish County Wa, LLC

Doing business as Providence at Home with Compassus Home Health, Snohomish County

  • Community Based Hospice Care Agency
  • Everett, WA
National Provider Identifier
1184446221
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CP SNOHOMISH COUNTY WA, LLC
Doing business as
Providence at Home with Compassus Home Health, Snohomish County
Providence at Home with Compassus Hospice Care, Snohomish County
Providence at Home with Compassus Palliative Care, Snohomish County1 more in Other names
Practice address
1615 75TH Street SW
Suite 210
Everett, WA 98203-6293
Phone
(425) 261-4800
NPI assigned
Oct 29, 2024
Last updated
Oct 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X NU

Addresses

Primary practice location

1615 75TH Street SW
Suite 210
Everett, WA 98203-6293

Mailing address

1341 W Battlefield
Suite 110
Springfield, MO 65807
Phone (417) 841-4834

Other names 4

  • Providence at Home with Compassus Home Health, Snohomish County Doing business as
  • Providence at Home with Compassus Hospice Care, Snohomish County Doing business as
  • Providence at Home with Compassus Palliative Care, Snohomish County Doing business as
  • Providence at Home with Compassus, Snohomish County Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250325002935 WA Part A Provider - Hospice 5698297216 Practice locations: Everett, WA
O20250701002595 WA Part B Supplier - Clinic/Group Practice 5698297216 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
Practice locations: Everett, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184446221. Details of each certification follow.

Hospice certification: CCN 501514

Legal name
CP SNOHOMISH COUNTY WA, LLC
Doing business as
PROVIDENCE AT HOME WITH COMPASSUS, SNOHOMISH COUNTY
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 10, 1987
Last certification
Feb 17, 2022
Ownership / control type
Non-Profit - Church
Most recent change of ownership
Feb 27, 2025
Organization structure
LLCProprietary
Enrollment address
1615 75TH St SW
Ste 210
Everett, WA 98203-6293

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospice

Medicare Care Compare
Listed as
Providence at Home With Compassus, Snohomish CountyCCN 501514 · All quality measures
Ownership
Non-Profit
Certified
Mar 10, 1987
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
CP Snohomish County Wa LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & 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.

NameRoleSinceShare
Compassus Parent, Inc. Organization, New York, NY Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2025 50%
John Cullen Individual Corporate OfficerCfo Mar 1, 2025
FC Compassus LLC Organization, Brentwood, TN LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2025 50%
Catherine Sloan Individual Corporate OfficerAssistant Secretary Mar 1, 2025
Russell G Adkins Individual Corporate OfficerSecretary Mar 1, 2025
Ascension Towerbrook Healthcare Opportunties LP Organization, New York, NY For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2025 23.82%
Towerbrook Investors V 892 LP Organization, New York, NY For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2025 7.11%
Terri P Warren Individual Corporate Officer Feb 27, 2025
Providence Health & Services - Washington Organization, Renton, WA Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 27, 2025 95.2%
Towerbrook Investors V (Onshore) LP Organization, New York, NY For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2025 14.98%
CP Wa Holdings LLC Organization, Renton, WA LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 27, 2025 100%
Compassus Holdings LP Organization, New York, NY LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2025 50%
Patricia D Zimburean Individual Contracted Managing EmployeeMD; Feb 27, 2025
CP Snohomish Co Wa Holdings LLC Organization, Renton, WA LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 27, 2025 100%
Ti V Compassus Investment Aggregator, L.P. Organization, New York, NY For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2025 24.92%
Compassus Intermediate Inc Organization, New York, NY Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2025 50%
Ascension Capital LLC Organization, Clayton, MO LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 3, 2025 23.8%
Cheryl Cline Individual W-2 Managing EmployeeAd; Feb 27, 2025
Providence Health & Services Organization, Renton, WA Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 27, 2025 100%
Compassus Providence Holdings, LLC Organization, Renton, WA LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 27, 2025 100%
Michael Asselta Individual Corporate OfficerCeo Mar 1, 2015
Ti V ASC Compassus Investment Aggregator LP Organization, New York, NY For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2025 48.75%
Providence St. Joseph Health Organization, Renton, WA Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 27, 2025 100%
Ascension Health Alliance Organization, Clayton, MO LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2025 23.81%

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 292

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

View all 292

Change-of-ownership history 1

DateEventCounterparty
Feb 27, 2025 Change of OwnershipThis provider was the buyer Prov Hospice & HC of Snohomish CtyCCN 501514, WA, NPI 1083947709

Change of ownership 1

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

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.

Affiliated clinicians 3

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": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1184446221",
    "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": "1615 75TH STREET SW",
            "address_2": "SUITE 210",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982036293",
            "telephone_number": "425-261-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CP SNOHOMISH COUNTY WA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "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
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence at Home with Compassus Home Health, Snohomish County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Providence at Home with Compassus Hospice Care, Snohomish County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Providence at Home with Compassus Hospice Care, Snohomish County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Providence at Home with Compassus Palliative Care, Snohomish County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Providence at Home with Compassus, Snohomish County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.