Organization Active NPI

Compassus BSMH Youngstown HHA LLC

Doing business as Mercy Health Home Care by Compassus

  • Home Health Agency
  • Girard, OH
National Provider Identifier
1629896550
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 YOUNGSTOWN HHA LLC
Doing business as
Mercy Health Home Care by Compassus
Practice address
979 Tibbetts Wick Rd Ste a
Girard, OH 44420-1182
Phone
(330) 480-3776
Fax
(330) 480-4584
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

979 Tibbetts Wick Rd Ste a
Girard, OH 44420-1182

Mailing address

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

Other names 1

  • Mercy Health Home Care by Compassus Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241106002405 OH Part A Provider - Home Health Agency 6800320318 Practice locations: Girard, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629896550. Details of each certification follow.

Home health agency certification: CCN 367518

Legal name
COMPASSUS BSMH YOUNGSTOWN HHA, LLC
Doing business as
MERCY HEALTH HOME CARE BY COMPASSUS
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 27, 1993
Last certification
Mar 28, 2014
Ownership / control type
Non-Profit
Most recent change of ownership
Apr 23, 2024
Organization structure
LLCProprietary
Enrollment address
979 Tibbetts Wick Rd
Ste a
Girard, OH 44420-1182

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mercy Health Home Care -YoungstownCCN 367518 · All quality measures
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Apr 27, 1993
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
36D0886219Compassus BSMH Youngstown HHA, LLC979 Tibbetts-Wick Rd Ste a, Girard, OH 44420Certificate of waiverMay 13, 2028

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, New York, NY Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2024 50%
Billy Andrew Pate Individual Corporate OfficerExecutive Vice President, Coo Jul 1, 2025
John Cullen Individual Corporate OfficerChief Financial Officer May 1, 2024
FC Compassus LLC Organization, Brentwood, TN Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2024 50%
Ascension Towerbrook Healthcare Opportunties LP Organization, New York, NY Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2024 23.83%
Melanie Boyts Individual W-2 Managing EmployeeAd; Sep 23, 2024
Compassus BSMH Youngstown HHA Holdco LLC Organization, Brentwood, TN Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 23, 2024 100%
Compassus Holdings LP Organization, New York, NY Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2024 50%
Compassus BSMH Youngstown LLC Organization, Brentwood, TN Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 23, 2024 100%
Bon Secours Mercy Health Inc Organization, Cincinnati, OH Corporation 5% Or Greater Indirect Ownership Interest May 1, 2024 50%
Laura a Templeton Individual Corporate OfficerExecutive Vice President, Coo Apr 12, 2023
Ti V Compassus Investment Aggregator, L.P. Organization, New York, NY Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2024 24.92%
Compassus BSMH Ohio LLC Organization, Cincinnati, OH Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 23, 2024 100%
Compassus Intermediate Inc Organization, New York, NY Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2024 50%
Towerbrook Investors V (Onshore) LP Organization, New York, NY Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2024 14.98%
Compassus BSMH Holdings LLC Organization, Cincinnati, OH LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 23, 2024 100%
Ascension Capital LLC Organization, Clayton, MO Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2024 23.81%
Towerbrook Investors V (892), L.P. Organization, New York, NY Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2024 7.11%
Michael Asselta Individual Corporate OfficerChief Executive Officer May 1, 2024
Ti V ASC Compassus Investment Aggregator LP Organization, New York, NY Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest May 1, 2024 48.75%
Ascension Health Alliance Organization, Clayton, MO Created for acquisition 5% Or Greater Indirect Ownership Interest May 1, 2024 23.81%

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
Apr 23, 2024 Change of OwnershipThis provider was the buyer Mercy Health Home Care-YoungstownCCN 367518, OH, NPI 1033209721

Change of ownership 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 22

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

View all 22

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": "1629896550",
    "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": "979 TIBBETTS WICK RD STE A",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444201182",
            "telephone_number": "330-480-3776",
            "fax_number": "330-480-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSUS BSMH YOUNGSTOWN HHA 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": "Mercy Health Home Care by Compassus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Girard, OH

Sources for this page

Verify at the official NPI Registry.