Organization Active NPI

Rta Hospice, LLC

  • Community Based Hospice Care Agency
  • Yuma, AZ
National Provider Identifier
1659432243
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
PENDING Issued in AZ
Legal business name
RTA HOSPICE, LLC
Practice address
2320 S 22ND Dr
Yuma, AZ 85364-8867
Phone
(928) 344-6100
Fax
(928) 317-0311
NPI assigned
Dec 13, 2006
Last updated
Mar 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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 PENDING AZ Primary

Addresses

Primary practice location

2320 S 22ND Dr
Yuma, AZ 85364-8867

Mailing address

10 Cadillac Dr
Suite 400
Brentwood, TN 37027-5078
Phone (515) 425-5407

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061227000372 AZ Part A Provider - Hospice 7911969829 Practice locations: Yuma, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659432243. Details of each certification follow.

Hospice certification: CCN 031573

Legal name
RTA HOSPICE LLC
Doing business as
HOSPICE COMPASSUS-YUMA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 14, 2007
Last certification
Jul 19, 2022
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Incorporated
Mar 10, 1994 in AZ
Enrollment address
2320 S 22ND Dr
Yuma, AZ 85364-8867

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice Compassus - YumaCCN 031573 · All quality measures
Ownership
For-Profit
Certified
Jun 14, 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
03D1063922Hospice Compassus - Yuma2320 S 22ND Drive, Yuma, AZ 85364Certificate of waiverJan 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
Hospice Compassus - Sedonaflagstaff9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

2320 S 22nd Dr
Yuma, AZ 85364
Phone (928) 783-4476

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 Dec 31, 2019 100%
Billy Andrew Pate Individual Corporate OfficerCoo Jul 1, 2025
John Cullen Individual Corporate OfficerCfo Jul 1, 2025
FC Compassus LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 22, 2014 100%
Russell G Adkins Individual Corporate OfficerSenior Vice President General Co Dec 22, 2014
Compassus Holdings, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
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%
Ascension Capital, LLC Organization, Clayton, MO LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.48%
Daniel Garcia Individual W-2 Managing EmployeeAd; Feb 3, 2025
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 100%
Ascension Health Alliance Organization, Clayton, MO For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.48%
Community Hospices of America, LLC. Organization, Brentwood, TN LLC, For-profit Operational/Managerial Control Jan 7, 2020
Ti V Compassus Investment Aggregator, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.5%
Towerbrook Investors V (Onshore) LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 29.75%
Towerbrook Investors V (892), L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 14.14%
Compassus Intermediate, Inc. Organization, New York, NY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
Michael Asselta Individual Corporate Officer 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%
Jose L Vega Individual Contracted Managing EmployeeMD; Jan 1, 2020

Owners & managing parties with NPI records 1

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

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 3

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 2

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1659432243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CADILLAC DR",
            "address_2": "SUITE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275078",
            "telephone_number": "515-425-5407",
            "fax_number": "615-373-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 S 22ND DR",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648867",
            "telephone_number": "928-344-6100",
            "fax_number": "928-317-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RTA HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "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": "AZ",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.