Organization Active NPI

Horizon Hospice, LLC

  • Community Based Hospice Care Agency
  • McComb, MS
National Provider Identifier
1386746105
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
049 Issued in MS
Legal business name
HORIZON HOSPICE, LLC
Practice address
119 W Presley Blvd
Suite D
McComb, MS 39648-5534
Phone
(601) 250-0884
Fax
(601) 684-3097
NPI assigned
Sep 2, 2006
Last updated
Mar 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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 049 MS Primary

Addresses

Primary practice location

119 W Presley Blvd
Suite D
McComb, MS 39648-5534

Mailing address

10 Cadillac Dr
Suite 400
Brentwood, TN 37027-5078
Phone (615) 425-5407

Other identifiers 1

IdentifierTypeStateIssuer
00770301MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030425000046 MS Part A Provider - Hospice 3072422849 Practice locations: Meridian, MS; Natchez, MS; McComb, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386746105. Details of each certification follow.

Hospice certification: CCN 251549

Legal name
HORIZON HOSPICE, LLC
Doing business as
HOSPICE COMPASSUS - MISSISSIPPI
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 14, 1998
Last certification
Oct 2, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Jan 21, 2003 in DE
Enrollment address
119 D West Presley Blvd
McComb, MS 39648-5535

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice Compassus- MississippiCCN 251549 · All quality measures
Ownership
For-Profit
Certified
Oct 14, 1998
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
25D0990882Horizon Hospice LLC119-D West Presley Blvd, McComb, MS 39648Certificate of waiverSep 4, 2027

National Provider Directory

National Provider Directory

Locations

101 W Cherokee St
Ste A
Brookhaven, MS 39601
Phone (601) 835-3363

501 Eagle Day Ave
Ste B
Columbia, MS 39429
Phone (601) 736-8569

12261 Highway 49
Ste 5
Gulfport, MS 39503
Phone (228) 863-1233

140 N 5th St
#B
McComb, MS 39648
Phone (601) 250-0884

1614 23rd Ave
Meridian, MS 39301
Phone (601) 483-5200

2340 N Hills St
Ste Fg
Meridian, MS 39305
Phone (601) 483-5200

725 Front Street Ext
Ste 850
Meridian, MS 39301
Phone (601) 483-5200

300 Highland Blvd
Ste G
Natchez, MS 39120
Phone (601) 442-6493

141 Highway 90
Waveland, MS 39576
Phone (228) 863-1233

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%
Lucius M Lampton Individual Contracted Managing EmployeeMD; Jan 1, 2014
FC Compassus LLC Organization, Brentwood, TN For-profit 5% Or Greater Indirect Ownership Interest Dec 22, 2014 100%
Washington State Investment Board Organization, Olympia, WA For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 5.24%
Russell G Adkins Individual Corporate Officer Dec 1, 2017
Melissa D Renfroe Individual W-2 Managing EmployeeAd; Aug 13, 2020
Compassus Holdings, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
David F Grams Individual Corporate OfficerCeo Jan 31, 2022
CLP Healthcare Services LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 22, 2014 100%
Ascension Towerbrook Healthcare Opportunities LP Organization, Clayton, MO For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.5%
Ascension Capital, LLC Organization, Clayton, MO LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.48%
Laura a Templeton Individual Corporate OfficerEvp, Chief Operating Officer Apr 12, 2023
Operational/Managerial ControlEvp, Chief Operating Officer Apr 12, 2023
Ascension Health Alliance Organization, Clayton, MO For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.48%
Community Hospices of America, LLC. Organization, Brentwood, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Dec 22, 2014 100%
Ti V Compassus Investment Aggregator, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 14.14%
Towerbrook Investors V (Onshore) LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 29.75%
Towerbrook Investors V (892), L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 14.14%
Compassus Intermediate, Inc. Organization, New York, NY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
Ti V ASC Compassus Investment Aggregator LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 99%

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 166

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

View all 166

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1386746105",
    "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": "615-425-5407",
            "fax_number": "615-373-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W PRESLEY BLVD",
            "address_2": "SUITE D",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396485534",
            "telephone_number": "601-250-0884",
            "fax_number": "601-684-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2018-03-08",
        "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": "MS",
            "license": "049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770301",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McComb, MS

Sources for this page

Verify at the official NPI Registry.