Organization Active NPI

Hospice Advantage, LLC.

Doing business as Compassus - Fayetteville

  • Community Based Hospice Care Agency
  • Fayetteville, GA
National Provider Identifier
1508882937
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
0560267H Issued in GA
Legal business name
HOSPICE ADVANTAGE, LLC.
Doing business as
Compassus - Fayetteville
Practice address
101 Yorktown Dr Ste 107a
Fayetteville, GA 30214-1578
Phone
(678) 817-4180
Fax
(678) 817-4178
NPI assigned
Jul 15, 2006
Last updated
Jan 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 0560267H GA Primary

Addresses

Primary practice location

101 Yorktown Dr Ste 107a
Fayetteville, GA 30214-1578

Mailing address

10 Cadillac Dr Ste 400
Brentwood, TN 37027-1001
Phone (615) 377-7022

Other names 2

  • Compassus - Fayetteville Doing business as
  • Hospice Advantage, Inc. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070131000018 FL Part A Provider - Hospice 3779544960 Practice locations: Fayetteville, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508882937. Details of each certification follow.

Hospice certification: CCN 111649

Legal name
HOSPICE ADVANTAGE LLC
Doing business as
COMPASSUS-FAYETTEVILLE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 4, 2007
Last certification
May 18, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Sep 8, 2004 in FL
Enrollment address
101 Yorktown Dr
Ste 107a
Fayetteville, GA 30214

Care Compare: Hospice

Medicare Care Compare
Listed as
Compassus-FayettevilleCCN 111649 · All quality measures
Ownership
For-Profit
Certified
Apr 4, 2007
Medicare certification status
ActiveFrom the Provider of Services file

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
11D1056959Compassus -Fayetteville101 Yorktown Drive Suite 107a, Fayetteville, GA 30214Certificate of waiverJul 30, 2026

National Provider Directory

National Provider Directory
Tax ID family
Compassus Allentown37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

Member of 1

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

Locations

101 Yorktown Dr
Ste 107A
Fayetteville, GA 30214
Phone (678) 817-4180

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.

NameRoleSinceShare
Compassus Parent, Inc. Organization, New York, NY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
FC Compassus LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 7, 2015 87%
Russell G Adkins Individual Corporate OfficerGeneral Counsel, Sr. VP/Secretar Oct 7, 2015
Operational/Managerial Control Oct 7, 2015
Compassus Holdings, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
Charlotte Grayson-Mathis Individual Contracted Managing EmployeeMD; Oct 1, 2022
Ascension Towerbrook Healthcare Opportunities LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.5%
Ascension Capital, LLC Organization, Clayton, MO LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.48%
Laura a Templeton Individual Corporate OfficerEvp, Chief Operating Officer Apr 12, 2023
Operational/Managerial ControlEvp, Chief Operating Officer Apr 12, 2023
Ascension Health Alliance Organization, Clayton, MO Non-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.48%
Ti V Compassus Investment Aggregator, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.5%
Hospice Advantage Midco LLC Organization, Brentwood, TN Created for acquisition, For-profit 5% Or Greater Direct Ownership Interest Oct 7, 2015 100%
Jenni Shelton Individual W-2 Managing EmployeeAd; Aug 5, 2024
Towerbrook Investors V (Onshore) LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 29.75%
Hospice Advantage Holdings, LLC Organization, Brentwood, TN Created for acquisition, For-profit 5% Or Greater Indirect Ownership Interest Oct 7, 2015
Towerbrook Investors V (892), L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 14.14%
FC Compassus Hospice Blocker, LLC Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 7, 2015 13%
Compassus Intermediate, Inc. Organization, New York, NY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
Michael Asselta Individual Corporate OfficerCeo May 2, 2024
Ti V ASC Compassus Investment Aggregator LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 99%

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Compassus-FlorenceFlorence, AL, CCN 011678 Hospice 5% Or Greater Direct Ownership Interest (100%) Dec 14, 2012
Compassus- North Georgia IIEast Ellijay, GA, CCN 111682 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 7, 2015
Compassus - AuburnAuburn, AL, CCN 011528 Hospice 5% Or Greater Direct Ownership Interest (100%) Dec 14, 2012

Facilities with the same owner 162

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

View all 162

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1508882937",
    "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": "615-377-7022",
            "fax_number": "615-373-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 YORKTOWN DR STE 107A",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141578",
            "telephone_number": "678-817-4180",
            "fax_number": "678-817-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE ADVANTAGE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "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": "GA",
            "license": "0560267H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassus - Fayetteville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hospice Advantage, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.