Active NPI
Horizon Hospice, LLC
- Community Based Hospice Care Agency
- McComb, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 049
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00770301 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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- Mississippi
- Ownership
- For-Profit
- Certified
- Oct 14, 1998
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D0990882 | Horizon Hospice LLC | Certificate of waiver | Sep 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Compassus Parent, Inc. | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 100% |
| Lucius M Lampton | Contracted Managing Employee | Jan 1, 2014 | |
| FC Compassus LLC | 5% Or Greater Indirect Ownership Interest | Dec 22, 2014 | 100% |
| Washington State Investment Board | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 5.24% |
| Russell G Adkins | Corporate Officer | Dec 1, 2017 | |
| Melissa D Renfroe | W-2 Managing Employee | Aug 13, 2020 | |
| Compassus Holdings, L.P. | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 100% |
| David F Grams | Corporate Officer | Jan 31, 2022 | |
| CLP Healthcare Services LLC | 5% Or Greater Indirect Ownership Interest | Dec 22, 2014 | 100% |
| Ascension Towerbrook Healthcare Opportunities LP | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 49.5% |
| Ascension Capital, LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 49.48% |
| Laura a Templeton | Corporate Officer | Apr 12, 2023 | |
| Operational/Managerial Control | Apr 12, 2023 | ||
| Ascension Health Alliance | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 49.48% |
| Community Hospices of America, LLC. | 5% Or Greater Direct Ownership Interest | Dec 22, 2014 | 100% |
| Ti V Compassus Investment Aggregator, L.P. | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 14.14% |
| Towerbrook Investors V (Onshore) LP | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 29.75% |
| Towerbrook Investors V (892), L.P. | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 14.14% |
| Compassus Intermediate, Inc. | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 100% |
| Ti V ASC Compassus Investment Aggregator LP | 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.
-
- Family Medicine Physician
- Magnolia, MS
- NPI 1689781007
Contracted Managing Employee
Facilities with the same owner 166
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Compassus - Memphis
- Community Based Hospice Care Agency
- Southaven, MS
- NPI 1134415433
Ascension Towerbrook Healthcare Opportunities LP, Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (Onshore) LP, Washington State Investment Boa
-
dba Compassus - Jackson
- Community Based Hospice Care Agency
- Flowood, MS
- NPI 1184910945
Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (Onshore) LP
-
dba Compassus - Mid Mississippi
- Community Based Hospice Care Agency
- Brookhaven, MS
- NPI 1386930113
Ascension Towerbrook Healthcare Opportunities LP, Community Hospices of America, LLC., Compassus Intermediate, Inc., Compassus Parent, Inc., FC Compassus LLC, Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (892), L.P., Towerbroo
-
dba Compassus - Hattiesburg
- Community Based Hospice Care Agency
- Hattiesburg, MS
- NPI 1457647216
Ascension Capital, LLC, Ascension Towerbrook Healthcare Opportunities LP, Community Hospices of America, LLC., Compassus Intermediate, Inc., Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Ti V Compassus Inves
-
dba Ascension Saint Thomas at Home
- Home Health Agency
- Centerville, TN
- NPI 1780462556
Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Towerbrook Investors V (892), L.P., Towerbrook Investors V (Onshore) LP
-
- Community Based Hospice Care Agency
- Cedar Rapids, IA
- NPI 1003813908
Ascension Towerbrook Healthcare Opportunities LP, CLP Healthcare Services LLC, Community Hospices of America, LLC., Compassus Holdings, L.P., Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Ti V Compassus Inve
-
dba Ascension at Home
- Home Health Agency
- Jacksonville, FL
- NPI 1811590961
Ascension Towerbrook Healthcare Opportunities LP, Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (Onshore) LP
-
dba Ascension at Home
- Home Health Agency
- Pensacola, FL
- NPI 1245812205
Ascension Capital, LLC, Ascension Towerbrook Healthcare Opportunities LP, Compassus Holdings, L.P., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (892), L.P., Tower
-
dba Ascension at Home
- Home Health Agency
- Lynn Haven, FL
- NPI 1790415131
Ascension Capital, LLC, Ascension Towerbrook Healthcare Opportunities LP, FC Compassus LLC, Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (892), L.P., Towerbrook Investors V (Onshore) LP
-
- Community Based Hospice Care Agency
- Houston, TX
- NPI 1609963883
Ascension Capital, LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, CLP Healthcare Services LLC, Compassus Holdings, L.P., Compassus Intermediate, Inc., Compassus Parent, Inc., FC Compassus LLC, Ti V Compassus Inve
-
dba Compassus Home Health Butte MT
- Home Health Agency
- Butte, MT
- NPI 1982963930
Ascension Capital, LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Holdings, L.P., Compassus Intermediate, Inc., Compassus Parent, Inc., FC Compassus LLC, Ti V Compassus Investment Aggregator, L.P., Towe
-
dba Compassus Home Health Albuquerque NM
- Home Health Agency
- Albuquerque, NM
- NPI 1184665044
Ascension Capital, LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Holdings, L.P., Compassus Intermediate, Inc., Compassus Parent, Inc., Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V
Practitioners & affiliated clinicians
Affiliated clinicians 7
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Critical Care Medicine (Internal Medicine) Physician
- Meridian, MS
- NPI 1023320280
Hospice
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.