Hospice Advantage, LLC
Organization Active NPI Community Based Hospice Care Agency · Kennesaw, GA
NPI 1497709802 · NPPES record last updated Jun 9, 2020
Key facts
- NPI
- 1497709802
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 033-234-H (GA)
- Legal business name
- HOSPICE ADVANTAGE, LLC
- Practice address
- 300 Chastain Center Blvd
Suite 345
Kennesaw, GA 30144-5557 - Phone
- (770) 218-1997
- Fax
- (770) 218-1975
- NPI assigned
- May 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Russell Adkins
- Title
- SVP General Counsel
- Phone
- (615) 309-5668
Owners & managing parties with NPI records 2
Corporate family (same tax ID) 36
Member of 1
Facilities with the same owner 162
Practitioners 21
-
Kaelan Dawson, NP-BC
-
Benjamin David Demoss, M.D.
-
Leena Dutta, M.D.
-
Claire Fink, NP
-
Kacie J. Graves, FNP
-
Kayla Jean Jones, NP C
-
Meredith Anne Jones, PMHNP-BC
-
Haley Lee, NP-C
-
Lana Marie Peralta, APRN, AGACNP-BC
-
Amy West Schambach, APRN
-
Gary Nathan Washington, FNP-C
-
Jackie Kabahuma Zziwa, FNP-C
Affiliated clinicians 1
Medicare Care Compare: Hospice
- Listed as
- Compassus-Kennesaw
- Ownership
- For-Profit
- Certified
- Mar 30, 2006
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1040721 | Compassus - Kennesaw | Certificate of waiver | May 16, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Hospice certification: CCN 111627
- Legal name
- HOSPICE ADVANTAGE LLC
- Doing business as
- COMPASSUS KENNESAW
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 30, 2006
- Last certification
- May 17, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC · Proprietary
- Incorporated
- Sep 8, 2004 in FL
- Enrollment address
- 300 Chastain Center Blvd NW
Ste 345
Kennesaw, GA 30144-5557
All disclosed owners & managing parties 19
| 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% |
| Russell G Adkins |
Corporate Officer |
Oct 7, 2015 | |
| Anedi Gisela Eme-Akwari |
Contracted Managing Employee |
Nov 1, 2023 | |
| Compassus Holdings, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 100% |
| Leah Bryce |
W-2 Managing Employee |
Dec 9, 2024 | |
| 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% |
| 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 | Dec 14, 2012 | 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 | Dec 14, 2012 | 100% |
| Towerbrook Investors V (892), L.P. |
5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 49.5% |
| FC Compassus Hospice Blocker, LLC |
5% Or Greater Indirect Ownership Interest | Oct 7, 2015 | 13% |
| Compassus Intermediate, Inc. |
5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 100% |
| Michael Asselta |
Corporate Officer |
May 2, 2024 | |
| Ti V ASC Compassus Investment Aggregator LP |
5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 99% |
All facility ownership & control disclosures 3
| 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 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050627000211 | GA | Part a Provider - Hospice | 3779544960 | Practice locations: Kennesaw, GA |
National Provider Directory
- Tax ID family
- Hospice Advantage LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 033-234-H | GA | Yes |
Addresses
Primary practice location
300 Chastain Center Blvd
Suite 345
Kennesaw, GA 30144-5557
Mailing address
10 Cadillac Drive
Suite 400
Brentwood, TN 37027-1001
Phone (615) 377-7022
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 622834679A | Medicaid | GA | |
| 51864050 | Other | GA | BLUE CROSS OF GEORGIA |
Other names
- Compassus - Kennesaw
- Hospice Advantage, Inc
Other providers in Kennesaw, GA
- Jennifer Mae Hootman
- Hopeology
- Hornburg Holistics, LLC
- James Larry Hornsby Jr.
- Jamica Natasha Horton
- Loren Ashley House-Gaston
- Iona Gayle Howald
- Kristi Thomas Howard
- Reign Howard
- Justin D Howe
All providers in Kennesaw, GA · Community Based Hospice Care Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.