Organization Active NPI

Hospice Care of the West LLC

  • Community Based Hospice Care Agency
  • Albuquerque, NM
National Provider Identifier
1215033097
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
3154A2 Issued in NM
Legal business name
HOSPICE CARE OF THE WEST LLC
Practice address
7770 Jefferson St NE Ste 305
Albuquerque, NM 87109-5912
Phone
(505) 332-0847
Fax
(505) 348-1006
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 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 3154A2 NM Primary

Addresses

Primary practice location

7770 Jefferson St NE Ste 305
Albuquerque, NM 87109-5912

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
35374284MedicaidNM
32D1028907OtherNMCLIA
14652234MedicaidNM

Other names 1

  • Compassus Hospice Albuquerque South Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080512000033 NM Part A Provider - Hospice 7012905193 Practice locations: Albuquerque, NM; Clovis, NM

Hospice certification: CCN 321556

Legal name
HOSPICE CARE OF THE WEST, LLC
Doing business as
COMPASSUS HOSPICE ALBUQUERQUE SOUTH
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 9, 2005
Last certification
Mar 3, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Jan 23, 2004 in DE
Enrollment address
7770 Jefferson St NE
Ste 305
Albuquerque, NM 87109-5912

Care Compare: Hospice

Medicare Care Compare
Listed as
Compassus Hospice Albuquerque SouthCCN 321556
Ownership
For-Profit
Certified
Feb 9, 2005
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
32D2011790Compassus Hospice Albuquerque South7770 Jefferson Street NE Suite 305, Albuquerque, NM 87109Certificate of waiverAug 22, 2026

National Provider Directory

National Provider Directory

Locations

505 N Euclid St
Ste 480
Anaheim, CA 92801
Phone (800) 405-1159

9890 Research Dr
Ste 100
Irvine, CA 92618
Phone (800) 405-1159

4801 Lang Ave NE
Ste 100
Albuquerque, NM 87109

7770 Jefferson St NE
Ste 305
Albuquerque, NM 87109
Phone (505) 332-0847

120 W 21st St
Clovis, NM 88101
Phone (505) 769-2200

2301 N Mlk Blvd
Clovis, NM 88101
Phone (575) 762-4455

Ownership & related parties

All disclosed owners & managing parties 38

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%
New Trident Health LLC Organization, Boston, MA LLC, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2016
FC Compassus LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2016 100%
Amanda G Lowe Individual W-2 Managing EmployeeArea Executive Clinical Operations Feb 9, 2021
FCT Health Holdings LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2016
Washington State Investment Board Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 5.24%
Russell G Adkins Individual Corporate OfficerGeneral Counsel, Sr VP & Sec May 1, 2016
Operational/Managerial Control May 1, 2016
Safanad Star-3 Inc Organization, New York, NY Corporation, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2016 5.99%
Compassus SG Holdings II, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2016
Ag Mobile Diagnostic Holdings LLC Organization, Boston, MA LLC 5% Or Greater Indirect Ownership Interest May 1, 2016 11.19%
National Hospice Holdings LLC Organization, Jenkintown, PA LLC, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2016
National Hospice Holdings Investors, LLC Organization, Dresher, PA LLC, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2016
FC Pac Holdings LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2016
Compassus Management Holdings LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2016
David F Grams Individual Corporate OfficerCeo 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
FC Trident Investment LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2016
Ascension Towerbrook Healthcare Opportunities LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019
Audax Private Equity Fund III LP Organization, Boston, MA For-profit 5% Or Greater Indirect Ownership Interest May 1, 2016
Frazier Trident Inc Organization, Seattle, WA Corporation, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2016
Compassus Holdings LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
Compassus SG Holdings I, LLC Organization, Brentwod, TN LLC, For-profit 5% Or Greater Direct Ownership Interest May 1, 2016 100%
Jeffrey W Mongonia Individual Operational/Managerial ControlEvp Chief Operating Officer Jun 1, 2021
Audax Private Equity Fund IV Aiv, L.P. Organization, Boston, MA For-profit 5% Or Greater Indirect Ownership Interest May 1, 2016
Jeremy R Bolling Individual Corporate OfficerDivision President Jan 31, 2022
W-2 Managing Employee Jan 31, 2022
Safanad Pentangle Holdings Limited Organization, Grand Cayman For-profit 5% Or Greater Indirect Ownership Interest May 1, 2016
Safanad Star-1 Inc Organization, New York, NY Corporation, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2016 19.45%
FC Trident LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 22, 2014 50.71%
Compassus Intermediate Inc Organization, New York, NY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
Formax Health Holdings LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2016
Ascension Capital LLC Organization, Clayton, MO LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.48%
Towerbrook Investors V (892), L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 14.14%
Safanad Pentangle Investments Limited Organization, Grand Cayman For-profit 5% Or Greater Indirect Ownership Interest May 1, 2016 26.34%
Ascension Health Alliance Organization, Clayton, MO Non-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.48%
Welltower Inc Organization, Toledo, OH Corporation, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2016 19.62%
Hcri TRS Trident Investment LLC Organization, Toledo, OH LLC, For-profit 5% Or Greater Indirect Ownership Interest May 1, 2016 19.62%
Audax Private Equity Fund IV, LP Organization, Boston, MA For-profit 5% Or Greater Indirect Ownership Interest May 1, 2016
Ti V ASC Compassus Investment Aggregator LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 99%

Facilities with the same owner 189

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

View all 189

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 4

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": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1215033097",
    "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": "7770 JEFFERSON ST NE STE 305",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095912",
            "telephone_number": "505-332-0847",
            "fax_number": "505-348-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE CARE OF THE WEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "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": "NM",
            "license": "3154A2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35374284",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "32D1028907",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14652234",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassus Hospice Albuquerque South",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Compassus Hospice Albuquerque South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.