Ascension Health at Home of Florida II, LLC
Organization Active NPI Home Health Agency · Pensacola, FL
NPI 1245812205 · NPPES record last updated Jun 20, 2022
Key facts
- NPI
- 1245812205
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- ASCENSION HEALTH AT HOME OF FLORIDA II, LLC
- Practice address
- 1115 E Gonzalez St Ste 10011003
Pensacola, FL 32503-6050 - Phone
- (850) 266-7235
- Fax
- (850) 502-5417
- NPI assigned
- Apr 28, 2021
- Organization subpart
- No
Authorized official
- Name
- Russell Adkins
- Title
- SVP, Chief Legal Officer
- Phone
- (615) 309-5668
Facilities with the same owner 294
Affiliated clinicians 33
-
Matthew Earl Cummins, DPM
-
Paul L Digiorgi, MD
-
Steven Evans, ARNP
-
Frank R. Farokhi, MD
-
Barbara Diane French, M.D.
-
James Reed Gahagan, D.O.
-
Robin Nicole Galry, APRN, FNP-C
-
Jung Y Gorton, MD
-
Raymond Lee Halstead Jr., ARNP
-
Jacob Hawkins, M.D.
-
Pardeep Kumari, MD
-
Susan J Laenger, MD
-
John May, MD
-
Kurt L Morrison, DO
-
Victor Emeka Nwosu, DPM
-
Wendy W Osban, DO
-
Kaylin Marie Quinn, APRN
-
Valerie Robinson, APRN
-
Mark McGrath Ryan, M.D.
-
Thomas Jacob Seales, M.D.
-
Scott Stewart, D.O.
Medicare Care Compare: Home health agency
- Listed as
- Ascension at Home
- Overall star rating
- ★★★★☆ 4 of 5
- Ownership
- -
- Certified
- Apr 14, 2022
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2226617 | Ascension Health at Home of Florida II LLC | Certificate of waiver | Jun 1, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Home health agency certification: CCN 687177
- Legal name
- ASCENSION HEALTH AT HOME OF FLORIDA II LLC
- Doing business as
- ASCENSION AT HOME
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 14, 2022
- Last certification
- Apr 7, 2022
- Organization structure
- LLC · Proprietary
- Incorporated
- Mar 4, 2021 in FL
- Enrollment address
- 1115 E Gonzalez St
Ste 1001 & 1003
Pensacola, FL 32503-6050
All disclosed owners & managing parties 18
| Name | Role | Since | Share |
|---|---|---|---|
| FC Compassus LLC |
5% Or Greater Indirect Ownership Interest | Mar 4, 2021 | |
| Ascension Health at Home of Florida Topco, LLC |
5% Or Greater Indirect Ownership Interest | Mar 4, 2021 | 100% |
| Russell G Adkins |
Corporate Officer |
Mar 4, 2021 | |
| Compassus Holdings, L.P. |
5% Or Greater Indirect Ownership Interest | Mar 4, 2021 | |
| Ascension Towerbrook Healthcare Opportunities LP |
5% Or Greater Indirect Ownership Interest | Mar 4, 2021 | |
| Ascension Capital, LLC |
5% Or Greater Indirect Ownership Interest | Mar 4, 2021 | |
| Laura a Templeton |
Corporate Officer |
Apr 12, 2023 | |
| Operational/Managerial Control |
Apr 12, 2023 | ||
| Ti V Compassus Investment Aggregator, L.P. |
5% Or Greater Indirect Ownership Interest | Mar 4, 2021 | |
| Compassus Intermediate Inc |
5% Or Greater Indirect Ownership Interest | Mar 4, 2021 | |
| Towerbrook Investors V (Onshore) LP |
5% Or Greater Indirect Ownership Interest | Mar 4, 2021 | |
| Towerbrook Investors V (892), L.P. |
5% Or Greater Indirect Ownership Interest | Mar 4, 2021 | |
| Ascension Health |
5% Or Greater Indirect Ownership Interest | Mar 4, 2021 | |
| Ascension Health at Home Holdings of Florida II, LLC |
5% Or Greater Direct Ownership Interest | Mar 4, 2021 | 100% |
| Compassus Parent Inc |
5% Or Greater Indirect Ownership Interest | Mar 4, 2021 | |
| Ascension Health Alliance |
5% Or Greater Indirect Ownership Interest | Mar 4, 2021 | |
| Michael Asselta |
Corporate Officer |
May 2, 2024 | |
| Mary Scharer |
W-2 Managing Employee |
Sep 24, 2024 | |
| Ti V ASC Compassus Investment Aggregator LP |
5% Or Greater Indirect Ownership Interest | Mar 4, 2021 | 48.75% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220128000974 | FL | Part a Provider - Home Health Agency | 0446642219 | Practice locations: Pensacola, FL |
National Provider Directory
Locations
5153 N 9th Ave
#6186
Pensacola, FL 32504
Phone (850) 266-7235
1115 E Gonzalez St
Ste 1001
Pensacola, FL 32503
Phone (850) 266-7235
1115 E Gonzalez St
Ste 10011003
Pensacola, FL 32503
Phone (850) 266-7235
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
1115 E Gonzalez St Ste 10011003
Pensacola, FL 32503-6050
Mailing address
10 Cadillac Dr Ste 400
Brentwood, TN 37027-1001
Phone (615) 309-5668
Other names
- Ascension at Home
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.