Organization Active NPI

Hospice Advantage, LLC

Doing business as Compassus - Milwaukee

  • Community Based Hospice Care Agency
  • Sheboygan, WI
National Provider Identifier
1306883947
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
2012 Issued in WI
Legal business name
HOSPICE ADVANTAGE, LLC
Doing business as
Compassus - Milwaukee
Practice address
2124 Kohler Memorial Dr Ste 200a
Sheboygan, WI 53081-3178
Phone
(920) 452-1851
Fax
(920) 452-1854
NPI assigned
Jun 1, 2006
Last updated
Dec 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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 2012 WI Primary

Addresses

Primary practice location

2124 Kohler Memorial Dr Ste 200a
Sheboygan, WI 53081-3178

Mailing address

10 Cadillac Dr
Suite 400
Brentwood, TN 37027-5078
Phone (417) 841-4834

Other identifiers 1

IdentifierTypeStateIssuer
43190400MedicaidWI

Other names 1

  • Compassus - Milwaukee Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051216000375 WI Part A Provider - Hospice 3779544960 Practice locations: Sheboygan, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306883947. Details of each certification follow.

Hospice certification: CCN 521576

Legal name
HOSPICE ADVANTAGE LLC
Doing business as
COMPASSUS - MILWAUKEE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 10, 2006
Last certification
Sep 8, 2015
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Incorporated
Sep 8, 2004 in FL
Enrollment address
2124 Kohler Memorial Dr
Ste 200a
Sheboygan, WI 53081-3178

Care Compare: Hospice

Medicare Care Compare
Listed as
Compassus MilwaukeeCCN 521576 · All quality measures
Ownership
For-Profit
Certified
Apr 10, 2006
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
52D1032412Hospice Advantage, LLC2124 Kohler Memorial Drive, Suite 200a, Sheboygan, WI 53081Certificate of waiverOct 21, 2026

National Provider Directory

National Provider Directory
Tax ID family
Hospice Advantage Inc37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

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

View all 36

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2960 Allied St
Ste 105
Green Bay, WI 54304
Phone (920) 321-2004

2124 Kohler Memorial Dr
Ste 200A
Sheboygan, WI 53081
Phone (920) 452-1851

Ownership & related parties

All disclosed owners & managing parties 19

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%
Shanna M Gonzales Individual W-2 Managing EmployeeArea Executive Clinical Operations Feb 1, 2021
FC Compassus LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 7, 2015 100%
Russell G Adkins Individual Corporate OfficerGeneral Counsel Senior VP and SE Oct 7, 2015
Operational/Managerial Control Oct 7, 2015
Compassus Holdings, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
Ti V ASC Compassus Investment Aggregator, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019
Ascension Towerbrook Healthcare Opportunities LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.5%
Michael H Hoffman Individual Contracted Managing EmployeeMD; Jul 1, 2019
Jeremy R Bolling Individual Corporate OfficerDivision President Jan 3, 2022
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 Operational/Managerial Control Jun 1, 2017 100%
Ti V Compassus Investment Aggregator, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.5%
Hospice Advantage Midco LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Oct 7, 2015 100%
Towerbrook Investors V (Onshore) LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 29.75%
Hospice Advantage Holdings, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 7, 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%
FC Compassus Hospice Blocker, LLC Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 7, 2015 13%
Compassus Intermediate, Inc. Organization, New York, NY Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
Michael Asselta Individual Corporate OfficerCeo May 2, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Compassus-FlorenceFlorence, AL, CCN 011678 Hospice 5% Or Greater Direct Ownership Interest (100%) Dec 14, 2012
Compassus- North Georgia IIEast Ellijay, GA, CCN 111682 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 7, 2015
Compassus - AuburnAuburn, AL, CCN 011528 Hospice 5% Or Greater Direct Ownership Interest (100%) Dec 14, 2012

Facilities with the same owner 162

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

View all 162

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1306883947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CADILLAC DR",
            "address_2": "SUITE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275078",
            "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": "2124 KOHLER MEMORIAL DR STE 200A",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813178",
            "telephone_number": "920-452-1851",
            "fax_number": "920-452-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE ADVANTAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "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": "WI",
            "license": "2012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43190400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassus - Milwaukee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sheboygan, WI

Sources for this page

Verify at the official NPI Registry.