NPIMap

Organization Active NPI

CP Orange County South S-Ca HH, LLC

  • Home Health Agency
  • Irvine, CA
National Provider Identifier
1396567533
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CP ORANGE COUNTY SOUTH S-CA HH, LLC
Practice address
38 Executive Park Ste 390
Irvine, CA 92614-4730
Phone
(714) 975-8011
NPI assigned
Oct 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Terri Warren
Title
Chief Executive Officer
Phone
(310) 480-2982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

38 Executive Park Ste 390
Irvine, CA 92614-4730

Mailing address

38 Executive Park Ste 390
Irvine, CA 92614-4730

Other names 1

  • Providence at Home with Compassus Home Health, Orange County South Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251110001326 CA Part A Provider - Home Health Agency 0042700825 Practice locations: Irvine, CA

Home health agency certification: CCN 058238

Legal name
CP ORANGE COUNTY SOUTH S-CA HH, LLC
Doing business as
PROVIDENCE AT HOME WITH COMPASSUS HOME HEALTH, ORANGE COUNTY SOUTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 10, 2004
Last certification
Jun 12, 2018
Ownership / control type
Proprietary
Most recent change of ownership
Aug 1, 2025
Organization structure
LLCProprietary
Enrollment address
38 Executive Park
Ste 390
Irvine, CA 92614-4730

Care Compare: Home health agency

Medicare Care Compare
Listed as
Providence at Home With Compassus Home Health, Orange County SouthCCN 058238
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Mar 10, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 21

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, Brentwood, TN Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 29, 2025 50%
John Cullen Individual Corporate OfficerChief Financial Officer Oct 20, 2025
FC Compassus LLC Organization, Brentwood, TN Management services company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 29, 2025 50%
Russell G Adkins Individual Corporate OfficerCorporate Secretary Oct 20, 2025
Compassus Holdings, L.P. Organization, Brentwood, TN Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 29, 2025 50%
Ti V ASC Compassus Investment Aggregator, L.P. Organization, Brentwood, TN Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 29, 2025 48.67%
Providence Health & Services - Washington Organization, Renton, WA Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 29, 2025 47.6%
Towerbrook Investors V (Onshore) LP Organization, Brentwood, TN Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 29, 2025 14.62%
Ascension Towerbrook Healthcare Opportunities LP Organization, Brentwood, TN Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 29, 2025 24.33%
CP S-Ca Holdings, LLC Organization, Brentwood, TN Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 29, 2025 100%
Michele Glover Individual W-2 Managing EmployeeAd; Oct 1, 2025
Ti V Compassus Investment Aggregator, L.P. Organization, Brentwood, TN Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 29, 2025 24.33%
Ascension Capital LLC Organization, Brentwood, TN LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 29, 2025 24.32%
Towerbrook Investors V (892), L.P. Organization, Brentwood, TN Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 29, 2025 6.95%
Providence Health & Services Organization, Renton, WA Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 29, 2025 50%
Compassus Providence Holdings, LLC Organization, Brentwood, TN Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 29, 2025 100%
Compassus Intermediate, Inc. Organization, Brentwood, TN Holding company 5% Or Greater Indirect Ownership Interest Sep 29, 2025 50%
Michael Asselta Individual Corporate OfficerChief Executive Officer Oct 20, 2025
Providence St. Joseph Health Organization, Renton, WA Corporation 5% Or Greater Indirect Ownership Interest Sep 29, 2025 50%
Ascension Health Alliance Organization, Brentwood, TN Corporation, Holding company 5% Or Greater Indirect Ownership Interest Sep 29, 2025 24.32%
CP Oc South S-Ca HH Holdings, LLC Organization, Brentwood, TN Created for acquisition, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 29, 2025 100%

Facilities with the same owner 292

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

View all 292

Change-of-ownership history 1

DateEventCounterparty
Sep 29, 2025 Change of OwnershipThis provider was the buyer Providence Home Health Orange County SouthCCN 058238, CA, NPI 1538347646

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 75

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 75

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1396567533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 EXECUTIVE PARK STE 390",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 EXECUTIVE PARK STE 390",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144730",
            "telephone_number": "714-975-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CP ORANGE COUNTY SOUTH S-CA HH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "310-480-2982"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence at Home with Compassus Home Health, Orange County South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.