Active NPI
Rta Hospice, LLC
Doing business as Hospice Compassus - Sedona/Flagstaff
- Community Based Hospice Care Agency
- Prescott Valley, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- RTA HOSPICE, LLC
- Doing business as
- Hospice Compassus - Sedona/Flagstaff
- Practice address
- 3033 N Windsong Dr Ste 205
Prescott Valley, AZ 86314-2297 - Phone
- (928) 775-1103
- Fax
- (928) 775-0262
- NPI assigned
- Jul 2, 2024
- Organization subpart
- No
NPPES NPI Registry
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) 309-5668
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
3033 N Windsong Dr Ste 205
Prescott Valley, AZ 86314-2297
Mailing address
10 Cadillac Dr Ste 400
Brentwood, TN 37027-1001
Phone (417) 841-4834
Other names 1
- Hospice Compassus - Sedona/Flagstaff
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050131000869 | AZ | Part A Provider - Hospice | 7911969829 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Prescott Valley, AZ; Sedona, AZ; Flagstaff, AZ |
Hospice certification: CCN 031560
- Legal name
- RTA HOSPICE LLC
- Doing business as
- HOSPICE COMPASSUS - SEDONA / FLAGSTAFF
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jun 15, 2005
- Last certification
- Aug 3, 2020
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Mar 10, 1994 in AZ
- Enrollment address
- 7000 State Route 179
Ste D100
Sedona, AZ 86351-9273
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Hospice Compassus - Sedona/Flagstaff
- Community Based Hospice Care Agency
- Flagstaff, AZ
- NPI 1326882275
O20050131000869
Care Compare: Hospice
Medicare Care Compare- Listed as
- Hospice Compassus - Sedona/ Flagstaff
- Ownership
- For-Profit
- Certified
- Jun 15, 2005
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryOwnership & 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.
| 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 | Dec 22, 2014 | 100% |
| Russell G Adkins | Corporate Officer | Feb 1, 2018 | |
| Towerbrook Investors V 892 LP | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 14.14% |
| Michele L Berg | W-2 Managing Employee | Mar 25, 2024 | |
| CLP Healthcare Services LLC | 5% Or Greater Direct Ownership Interest | Dec 22, 2014 | 100% |
| Ascension Towerbrook Healthcare Opportunities LP | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 49.5% |
| Compassus Holdings LP | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 100% |
| Laura a Templeton | Corporate Officer | Apr 12, 2023 | |
| Operational/Managerial Control | Apr 12, 2023 | ||
| Jeremy R Bolling | Corporate Officer | Jan 3, 2022 | |
| Community Hospices of America, LLC. | Operational/Managerial Control | Jul 11, 2016 | |
| Ti V Compassus Investment Aggregator, L.P. | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 49.5% |
| Candace M Reid | Contracted Managing Employee | May 1, 2023 | |
| Compassus Intermediate Inc | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 100% |
| Towerbrook Investors V (Onshore) LP | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 29.75% |
| Ascension Capital LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 49.48% |
| Ascension Health Alliance | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 49.48% |
| Michael Asselta | Corporate Officer | May 2, 2024 | |
| Ti V ASC Compassus Investment Aggregator LP | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 99% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Prescott, AZ
- NPI 1396739066
Contracted Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Prescott, AZ
- NPI 1396739066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719878400000",
"number": "1659117448",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3033 N WINDSONG DR STE 205",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863142297",
"telephone_number": "928-775-1103",
"fax_number": "928-775-0262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RTA HOSPICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-02",
"last_updated": "2024-07-02",
"certification_date": "2024-06-24",
"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": "615-309-5668"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hospice Compassus - Sedona/Flagstaff",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Prescott Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.