Organization Active NPI

Compassus Aah of Michigan II, LLC

Doing business as Compassus - Kalamazoo

  • Community Based Hospice Care Agency
  • Portage, MI
National Provider Identifier
1528675790
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
COMPASSUS AAH OF MICHIGAN II, LLC
Doing business as
Compassus - Kalamazoo
Practice address
5136 Lovers LN Ste 200B
Portage, MI 49002-1518
Phone
(269) 459-3700
Fax
(855) 773-2289
NPI assigned
Sep 30, 2020
Last updated
Nov 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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) 926-0340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

5136 Lovers LN Ste 200B
Portage, MI 49002-1518

Mailing address

10 Cadillac Dr Ste 400
Brentwood, TN 37027-1001
Phone (417) 841-4834

Other names 1

  • Compassus - Kalamazoo Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201202002328 MI Part A Provider - Hospice 3274944806 Practice locations: Portage, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528675790. Details of each certification follow.

Hospice certification: CCN 231548

Legal name
COMPASSUS AAH OF MICHIGAN II LLC
Doing business as
COMPASSUS- KALAMAZOO
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 7, 1992
Last certification
Jun 14, 2013
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Aug 3, 2020 in DE
Enrollment address
5136 Lovers LN
Ste 200B
Portage, MI 49002-1518

Care Compare: Hospice

Medicare Care Compare
Listed as
Compassus - KalamazooCCN 231548 · All quality measures
Ownership
Non-Profit
Certified
May 7, 1992
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
23D2231927Compassus - Kalamazoo5136 Lovers Lane Suite 200B, Portage, MI 49002Certificate of waiverAug 8, 2027

National Provider Directory

National Provider Directory

Locations

5136 Lovers Ln
Ste 200B
Portage, MI 49002
Phone (269) 459-3700

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, New York, NY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 100%
Billy Andrew Pate Individual Corporate OfficerEvp/Coo Jul 1, 2025
John Cullen Individual Corporate OfficerEvp/Cfo Jul 1, 2025
FC Compassus LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 100%
Russell G Adkins Individual Corporate OfficerSenior Vice President, General C Oct 1, 2020
Operational/Managerial ControlSenior Vice President, General C Oct 1, 2020
Towerbrook Investors V 892 LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 14.23%
Compassus Aah Holdings LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 100%
Ascension Towerbrook Healthcare Opportunities LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 47.66%
Compassus Holdings LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 100%
Laura a Templeton Individual Corporate OfficerEvp, Chief Operating Officer Apr 12, 2023
Operational/Managerial ControlEvp, Chief Operating Officer Apr 12, 2023
Community Hospices of America, LLC. Organization, Brentwood, TN LLC, For-profit, Chain home office Operational/Managerial Control Feb 28, 2022 100%
Ti V Compassus Investment Aggregator, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 49.84%
Compassus Intermediate Inc Organization, New York, NY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 100%
Towerbrook Investors V (Onshore) LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 29.96%
Jennifer N Houtman Individual Contracted Managing EmployeeMD; Feb 1, 2021
Ascension Capital LLC Organization, Clayton, MO LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 47.63%
Compassus Aah Holdings of Michigan LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Oct 1, 2020 100%
Ascension Health Alliance Organization, Clayton, MO Non-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 47.63%
Michael Asselta Individual Corporate OfficerCeo May 2, 2024
Operational/Managerial ControlCeo May 2, 2024
Ti V ASC Compassus Investment Aggregator LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 97.5%
Kimberly Weaver Individual W-2 Managing EmployeeAd; Oct 3, 2024

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1528675790",
    "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": "866-955-8538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5136 LOVERS LN STE 200B",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021518",
            "telephone_number": "269-459-3700",
            "fax_number": "855-773-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSUS AAH OF MICHIGAN II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "SVP GENERAL COUNSEL",
        "authorized_official_telephone_number": "615-926-0340"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassus - Kalamazoo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Compassus - Kalamazoo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portage, MI

Sources for this page

Verify at the official NPI Registry.