Organization Active NPI

Compassus Aah of Wisconsin V, LLC

Doing business as Compassus - Milwaukee Metro

  • Community Based Hospice Care Agency
  • Milwaukee, WI
National Provider Identifier
1356958532
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
COMPASSUS AAH OF WISCONSIN V, LLC
Doing business as
Compassus - Milwaukee Metro
Practice address
135 S 84TH St Ste 150B
Milwaukee, WI 53214-1476
Phone
(414) 455-9510
Fax
(844) 887-8728
NPI assigned
Sep 30, 2020
Last updated
Nov 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 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 NU Primary

Addresses

Primary practice location

135 S 84TH St Ste 150B
Milwaukee, WI 53214-1476

Mailing address

10 Cadillac Dr Ste 400
Brentwood, TN 37027-1001
Phone (417) 841-4834

Other names 1

  • Compassus - Milwaukee Metro Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210125002977 WI Part A Provider - Hospice 7214341767 Practice locations: Milwaukee, WI; Mount Pleasant, WI
O20240618002035 WI Part B Supplier - Clinic/Group Practice 7214341767 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Milwaukee, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356958532. Details of each certification follow.

Hospice certification: CCN 521561

Legal name
COMPASSUS AAH OF WISCONSIN V, LLC
Doing business as
COMPASSUS - MILWAUKEE METRO
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 28, 1997
Last certification
Jun 17, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Aug 2, 2020 in DE
Enrollment address
135 S 84TH St
Ste 150B
Milwaukee, WI 53214-1476

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
Compassus Milwaukee MetroCCN 521561 · All quality measures
Ownership
For-Profit
Certified
May 28, 1997
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
52D0391635Compassus - Metro Milwaukee135 South 84TH Street, Milwaukee, WI 53214Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

2525 N 124th St
Ste 103
Brookfield, WI 53005
Phone (414) 455-9510

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 Oct 1, 2020 100%
Shanna M Gonzales Individual W-2 Managing EmployeeAd; Feb 11, 2021
FC Compassus LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 100%
Russell G Adkins Individual Corporate OfficerSenior Vice President, General C Oct 1, 2020
Operational/Managerial ControlSenior Vice President, General C Oct 1, 2020
Towerbrook Investors V 892 LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 14.23%
Orell R Williams Individual Contracted Managing EmployeeMD; Feb 1, 2021
Compassus Aah Holdings LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 100%
Ascension Towerbrook Healthcare Opportunities LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 47.66%
Compassus Holdings LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 100%
Laura a Templeton Individual Corporate OfficerCoo Apr 12, 2023
Jeremy R Bolling Individual Corporate OfficerDivision President/Delegated Off Jan 31, 2022
Compassus Aah Holdings of Wisconsin LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Oct 1, 2020 100%
Community Hospices of America, LLC. Organization, Brentwood, TN LLC, For-profit, Chain home office Operational/Managerial Control Apr 8, 2022 100%
Compassus Intermediate Inc Organization, New York, NY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 100%
Towerbrook Investors V (Onshore) LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 29.96%
Ascension Capital LLC Organization, Clayton, MO LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 47.63%
Ascension Health Alliance Organization, Clayton, MO Non-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 47.63%
Michael Asselta Individual Corporate OfficerCeo May 2, 2024
Ti V ASC Compassus Investment Aggregator LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 97.5%

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 162

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

View all 162

Practitioners & affiliated clinicians

Practitioners 1

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 2

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": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1356958532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CADILLAC DR STE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271001",
            "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": "135 S 84TH ST STE 150B",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532141476",
            "telephone_number": "414-455-9510",
            "fax_number": "844-887-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSUS AAH OF WISCONSIN V, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassus - Milwaukee Metro",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Compassus - Milwaukee Metro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.