Organization Active NPI

Compassus BSMH St. Petersburg HHA II, LLC

Doing business as Bon Secours Home Care by Compassus

  • Home Health Agency
  • St Petersburg, FL
National Provider Identifier
1427876341
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMPASSUS BSMH ST. PETERSBURG HHA II, LLC
Doing business as
Bon Secours Home Care by Compassus
Practice address
11001 Roosevelt Blvd N Ste 100
St Petersburg, FL 33716-2344
Phone
(727) 577-7990
Fax
(727) 576-6138
NPI assigned
Sep 30, 2024
Last updated
Sep 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Russell Adkins
Title
SVP, Chief Legal Officer
Phone
(615) 926-0340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

11001 Roosevelt Blvd N Ste 100
St Petersburg, FL 33716-2344

Mailing address

10 Cadillac Dr Ste 400
Brentwood, TN 37027-1001
Phone (615) 637-9163

Other names 1

  • Bon Secours Home Care by Compassus Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250212000772 FL Part A Provider - Home Health Agency 3870023450 Practice locations: St Petersburg, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427876341. Details of each certification follow.

Home health agency certification: CCN 108384

Legal name
COMPASSUS BSMH ST PETERSBURG HHA II, LLC
Doing business as
BON SECOURS HOME CARE BY COMPASSUS
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 1, 2007
Last certification
Oct 9, 2019
Ownership / control type
Non-Profit
Most recent change of ownership
Jul 1, 2024
Organization structure
LLCProprietary
Enrollment address
11001 Roosevelt Blvd N
Ste 100
St Petersburg, FL 33716-2344

Care Compare: Home health agency

Medicare Care Compare
Listed as
Bon Secours Home Care by CompassusCCN 108384 · All quality measures
Overall star rating
5 of 5
Ownership
Non-Profit
Certified
Feb 1, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
10D1057463Bon Secours Home Care by Compassus11001 Roosevelt Blvd N - Ste 100, Saint Petersburg, FL 33716Certificate of waiverAug 13, 2026

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 25

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, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2024 50%
John Cullen Individual Corporate OfficerChief Financial Officer Jul 1, 2024
FC Compassus LLC Organization, Brentwood, TN LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2024 50%
Catherine Sloan Individual Corporate OfficerAssistant Secretary Jul 1, 2024
Russell G Adkins Individual Corporate OfficerSecretary Jul 1, 2024
Compassus BSMH Florida LLC Organization, Brentwood, TN LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2024 100%
Dana Crawford Individual Corporate OfficerAdminstrator Jul 29, 2024
St Francis Hospital Inc Organization, Cincinnati, OH Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2024 12.61%
Ascension Towerbrook Healthcare Opportunities LP Organization, New York, NY Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2024 23.83%
Hospice of the Valley, Inc. Organization, Cincinnati, OH Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2024 14.24%
Compassus Holdings LP Organization, New York, NY Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2024 50%
BSMH Services LLC Organization, Cincinnati, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2024 23.15%
Bon Secours Mercy Health Inc Organization, Cincinnati, OH Corporation 5% Or Greater Indirect Ownership Interest Jul 1, 2024 50%
Michelle Crawford Individual W-2 Managing EmployeeAd; Jul 1, 2024
Ti V Compassus Investment Aggregator, L.P. Organization, New York, NY Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2024 24.92%
Compassus Intermediate Inc Organization, New York, NY Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2024 50%
Towerbrook Investors V (Onshore) LP Organization, New York, NY Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2024 14.98%
Compassus BSMH Holdings LLC Organization, Brentwood, TN LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2024 100%
Ascension Capital LLC Organization, Clayton, MO LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2024 23.82%
Towerbrook Investors V (892), L.P. Organization, New York, NY Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2024 7.11%
Compassus BSMH St Peterburg LLC Organization, Brentwood, TN LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2024 100%
Michael Asselta Individual Corporate OfficerChief Executive Officer Jul 1, 2024
Ti V ASC Compassus Investment Aggregator LP Organization, New York, NY Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2024 48.75%
Compassus BSMH St Petersburg HHA Holdco LLC Organization, Brentwood, TN Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2024
Ascension Health Alliance Organization, Clayton, MO Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2024 23.82%

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 242

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

View all 242

Change-of-ownership history 1

DateEventCounterparty
Jul 1, 2024 Change of OwnershipThis provider was the buyer Bon Secours St Petersburg Home CareCCN 108384, FL, NPI 1295847341

Change of ownership 1

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

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": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1427876341",
    "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": "615-637-9163",
            "fax_number": "615-373-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 ROOSEVELT BLVD N STE 100",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337162344",
            "telephone_number": "727-577-7990",
            "fax_number": "727-576-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSUS BSMH ST. PETERSBURG HHA II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "SVP, CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "615-926-0340"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bon Secours Home Care by Compassus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.