Active NPI
Hospice Advantage, LLC.
Doing business as Compassus - Mid Mississippi
- Community Based Hospice Care Agency
- Brookhaven, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 140
- Legal business name
- HOSPICE ADVANTAGE, LLC.
- Doing business as
- Compassus - Mid Mississippi
- Practice address
- 120 W Cherokee St
Brookhaven, MS 39601 - Phone
- (601) 849-5903
- Fax
- (601) 849-5346
- NPI assigned
- Jun 20, 2011
- Last updated
- Oct 13, 2021
- 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 | 140 | MS | Primary |
Addresses
Primary practice location
120 W Cherokee St
Brookhaven, MS 39601
Mailing address
10 Cadillac Dr Ste 400
Brentwood, TN 37027-1001
Phone (417) 841-4834
Other names 1
- Compassus - Mid Mississippi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110823000579 | MS | Part A Provider - Hospice | 3779544960 | Practice locations: Brookhaven, MS |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1386930113. Details of each certification follow.
Hospice certification: CCN 251637
- Legal name
- HOSPICE ADVANTAGE LLC
- Doing business as
- COMPASSUS-MID-MISSISSIPPI
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Dec 1, 2006
- Last certification
- Jun 1, 2012
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Sep 8, 2004 in FL
- Enrollment address
- 120 W Cherokee St
Brookhaven, MS 39601-3311
Care Compare: Hospice
Medicare Care Compare- Listed as
- Compassus-Mid-Mississippi
- Ownership
- For-Profit
- Certified
- Dec 1, 2006
- 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 |
|---|---|---|---|
| 25D1056213 | Compassus - Mid Mississippi | Certificate of waiver | Jul 9, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Compassus Allentown
Other organizations with this tax ID 36
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Compassus - Memphis
- Community Based Hospice Care Agency
- Southaven, MS
- NPI 1134415433
-
dba Compassus - Jackson
- Community Based Hospice Care Agency
- Flowood, MS
- NPI 1184910945
-
dba Compassus - Hattiesburg
- Community Based Hospice Care Agency
- Hattiesburg, MS
- NPI 1457647216
-
dba Home & Hospice Advantage, Inc.
- Home Health Agency
- Flint, MI
- NPI 1316997950
-
dba Compassus - Lansing
- Hospice and Palliative Medicine (Family Medicine) Physician
- Lansing, MI
- NPI 1053912592
-
dba Compassus - Bay City
- Community Based Hospice Care Agency
- Saginaw, MI
- NPI 1104815752
-
dba Compassus - Milwaukee
- Community Based Hospice Care Agency
- Sheboygan, WI
- NPI 1306883947
-
- Community Based Hospice Care Agency
- Duluth, GA
- NPI 1316481716
-
dba Compassus - Athens
- Community Based Hospice Care Agency
- Athens, GA
- NPI 1316963887
-
dba Compassus - Kennesaw
- Community Based Hospice Care Agency
- Kennesaw, GA
- NPI 1497709802
-
- Community Based Hospice Care Agency
- Fond Du Lac, WI
- NPI 1518062579
-
dba Compassus - Lansing
- Community Based Hospice Care Agency
- Lansing, MI
- NPI 1548236557
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Auburn, AL
- NPI 1093238248
Member Of
Locations
401 Center Ave
Bay City, MI 48708
Phone (248) 629-9829
120 W Cherokee St
Brookhaven, MS 39601
Phone (601) 835-3363
Ownership & related parties
All disclosed owners & managing parties 20
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% |
| FC Compassus LLC | 5% Or Greater Indirect Ownership Interest | Oct 7, 2015 | 100% |
| Washington State Investment Board | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 5.24% |
| Russell G Adkins | Corporate Officer | Oct 7, 2015 | |
| Operational/Managerial Control | Oct 7, 2015 | ||
| Melissa D Renfroe | W-2 Managing Employee | Aug 13, 2020 | |
| David F Grams | Corporate Officer | Jan 31, 2022 | |
| Ti V ASC Compassus Investment Aggregator, L.P. | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 99% |
| Michael Kirkbride | Corporate Officer | Jan 3, 2022 | |
| Ascension Towerbrook Healthcare Opportunities LP | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 49.5% |
| Compassus Holdings LP | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 100% |
| Community Hospices of America, LLC. | Operational/Managerial Control | Jan 6, 2020 | |
| Ti V Compassus Investment Aggregator, L.P. | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 49.5% |
| Hospice Advantage Midco LLC | 5% Or Greater Direct Ownership Interest | Oct 7, 2015 | 100% |
| Towerbrook Investors V (Onshore) LP | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 29.75% |
| Hospice Advantage Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Oct 7, 2015 | 100% |
| Ascension Capital LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | |
| Towerbrook Investors V (892), L.P. | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 14.14% |
| FC Compassus Hospice Blocker, LLC | 5% Or Greater Indirect Ownership Interest | Oct 7, 2015 | 13% |
| Ascension Health Alliance | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | |
| Compassus Intermediate, Inc. | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Auburn, AL
- NPI 1093238248
5% Or Greater Direct Ownership Interest
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Compassus-Florence | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Dec 14, 2012 |
| Compassus- North Georgia II | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Oct 7, 2015 |
| Compassus - Auburn | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Dec 14, 2012 |
Facilities with the same owner 166
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- McComb, MS
- NPI 1386746105
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 - Memphis
- Community Based Hospice Care Agency
- Southaven, MS
- NPI 1134415433
Ascension Capital LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Holdings LP, Compassus Parent, Inc., FC Compassus Hospice Blocker, LLC, FC Compassus LLC, Hospice Advantage Holdings, LLC, Hospice Advant
-
dba Compassus - Jackson
- Community Based Hospice Care Agency
- Flowood, MS
- NPI 1184910945
Ascension Capital LLC, Ascension Health Alliance, Compassus Holdings LP, Compassus Parent, Inc., FC Compassus Hospice Blocker, LLC, FC Compassus LLC, Hospice Advantage Holdings, LLC, Hospice Advantage Midco LLC, Ti V Compassus Investment Aggregato
-
dba Compassus - Hattiesburg
- Community Based Hospice Care Agency
- Hattiesburg, MS
- NPI 1457647216
Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Community Hospices of America, LLC., Compassus Holdings LP, Compassus Intermediate, Inc., Compassus Parent, Inc., FC Compassus Hospice Blocker, LLC, FC Compassus LLC, Hos
-
dba Ascension Saint Thomas at Home
- Home Health Agency
- Centerville, TN
- NPI 1780462556
Ascension Capital LLC, Compassus Holdings LP, Compassus Parent, Inc., FC Compassus LLC, Towerbrook Investors V (892), L.P., Towerbrook Investors V (Onshore) LP
-
- Community Based Hospice Care Agency
- Cedar Rapids, IA
- NPI 1003813908
Ascension Capital LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Community Hospices of America, LLC., Compassus Parent, Inc., FC Compassus LLC, Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (8
-
dba Ascension at Home
- Home Health Agency
- Jacksonville, FL
- NPI 1811590961
Ascension Capital LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Holdings LP, Compassus Parent, Inc., FC Compassus LLC, Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (Onshore) LP
-
dba Ascension at Home
- Home Health Agency
- Pensacola, FL
- NPI 1245812205
Ascension Health Alliance, 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
-
dba Ascension at Home
- Home Health Agency
- Lynn Haven, FL
- NPI 1790415131
Ascension Towerbrook Healthcare Opportunities LP, Compassus Holdings LP, FC Compassus LLC, Ti V ASC Compassus Investment Aggregator, L.P., Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (892), L.P., Towerbrook Investors V (Onshor
-
- Community Based Hospice Care Agency
- Houston, TX
- NPI 1609963883
Ascension Towerbrook Healthcare Opportunities LP, Compassus Intermediate, Inc., Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator, L.P., Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (892), L.P.
-
dba Compassus Home Health Butte MT
- Home Health Agency
- Butte, MT
- NPI 1982963930
Ascension Towerbrook Healthcare Opportunities LP, Compassus Intermediate, Inc., Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator, L.P., Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (892), L.P.
-
dba Compassus Home Health Albuquerque NM
- Home Health Agency
- Albuquerque, NM
- NPI 1184665044
Ascension Towerbrook Healthcare Opportunities LP, Compassus Intermediate, Inc., Compassus Parent, Inc., Ti V ASC Compassus Investment Aggregator, L.P., Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (892), L.P., Towerbrook Invest
Practitioners & affiliated clinicians
Affiliated clinicians 3
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": "1308528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634083200000",
"number": "1386930113",
"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": "866-995-8538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 W CHEROKEE ST",
"city": "BROOKHAVEN",
"state": "MS",
"postal_code": "39601",
"telephone_number": "601-849-5903",
"fax_number": "601-849-5346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPICE ADVANTAGE, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-20",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"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": "140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Compassus - Mid Mississippi",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brookhaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.