Organization Active NPI

Rta Hospice, LLC

Doing business as Hospice Compassus - Sedona/Flagstaff

  • Community Based Hospice Care Agency
  • Prescott Valley, AZ
National Provider Identifier
1659117448
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Jul 2, 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) 309-5668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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.

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice Compassus - Sedona/ FlagstaffCCN 031560 · All quality measures
Ownership
For-Profit
Certified
Jun 15, 2005
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

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 Dec 22, 2014 100%
Russell G Adkins Individual Corporate OfficerSVP Chief Legal Officer Feb 1, 2018
Towerbrook Investors V 892 LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 14.14%
Michele L Berg Individual W-2 Managing EmployeeAd; Mar 25, 2024
CLP Healthcare Services LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Dec 22, 2014 100%
Ascension Towerbrook Healthcare Opportunities LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.5%
Compassus Holdings LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
Laura a Templeton Individual Corporate OfficerEvp, Chief Operating Officer Apr 12, 2023
Operational/Managerial ControlEvp, Chief Operating Officer Apr 12, 2023
Jeremy R Bolling Individual Corporate OfficerDivision President Jan 3, 2022
Community Hospices of America, LLC. Organization, Brentwood, TN Corporation Operational/Managerial Control Jul 11, 2016
Ti V Compassus Investment Aggregator, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.5%
Candace M Reid Individual Contracted Managing EmployeeMD; May 1, 2023
Compassus Intermediate Inc Organization, New York, NY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
Towerbrook Investors V (Onshore) LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 29.75%
Ascension Capital LLC Organization, Clayton, MO LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.48%
Ascension Health Alliance Organization, Clayton, MO Non-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.48%
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 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "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

Verify at the official NPI Registry.