Organization Active NPI

CP Sound Wa, LLC

  • Home Health Agency
  • Lacey, WA
National Provider Identifier
1669294708
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CP SOUND WA, LLC
Practice address
4200 6TH Ave SE
Suite 201
Lacey, WA 98503-1042
Phone
(360) 459-8311
NPI assigned
Oct 29, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Russell Adkins
Title
SVP, Chief Legal Officer
Phone
(615) 926-0340

Other NPIs with the same Medicare PAC ID 1

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

Change of ownership 1

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

Facilities with the same owner 292

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 292

Affiliated clinicians 69

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

View all 69

Care Compare: Home health agency

Medicare Care Compare
Listed as
Providence at Home With Compassus, Puget Sound SouthCCN 507004
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Dec 1, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Medicare participation

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

Home health agency certification: CCN 507004

Legal name
CP SOUND WA, LLC
Doing business as
PROVIDENCE AT HOME WITH COMPASSUS, PUGET SOUND SOUTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 1, 1978
Last certification
Oct 29, 2018
Ownership / control type
Non-Profit
Most recent change of ownership
Feb 27, 2025
Organization structure
LLCProprietary
Enrollment address
4200 6TH Ave SE
Ste 201
Lacey, WA 98503-1042
HHA Branch

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250321000465 WA Part A Provider - Home Health Agency 2365964145 Practice locations: Lacey, WA

All disclosed owners & managing parties 22

Medicare enrollment files

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 Mar 1, 2025 50%
John Cullen Individual Corporate OfficerChief Financial Officer Mar 1, 2025
FC Compassus LLC Organization, Brentwood, TN Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2025 50%
Catherine Sloan Individual Corporate OfficerAssistant Secretary Mar 1, 2025
Russell G Adkins Individual Corporate OfficerSecretary Mar 1, 2025
Towerbrook Investors V 892 LP Organization, New York, NY Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2025 7.11%
Providence Health & Services - Washington Organization, Renton, WA Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 27, 2025 50%
CP Wa Holdings LLC Organization, Brentwood, TN Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 27, 2025 100%
Ascension Towerbrook Healthcare Opportunities LP Organization, New York, NY Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2025 23.83%
Compassus Holdings LP Organization, New York, NY Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2025 50%
Ascension Capital, LLC Organization, Clayton, MO Private equity company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2025 23.82%
Jill Ransom Individual W-2 Managing EmployeeAd; Feb 27, 2025
Ti V Compassus Investment Aggregator, L.P. Organization, New York, NY Holding company 5% Or Greater Indirect Ownership Interest Mar 1, 2025 24.92%
Compassus Intermediate Inc Organization, New York, NY Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2025 50%
Towerbrook Investors V (Onshore) LP Organization, New York, NY Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2025 14.98%
Providence Health & Services Organization, Renton, WA Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 27, 2025 50%
Compassus Providence Holdings, LLC Organization, Brentwood, TN Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 27, 2025 100%
CP Sound Wa Holdings LLC Organization, Brentwood, TN Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 27, 2025 100%
Michael Asselta Individual Corporate OfficerChief Executive Officer Mar 1, 2025
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 Mar 1, 2025 48.75%
Providence St. Joseph Health Organization, Renton, WA Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 27, 2025 50%
Ascension Health Alliance Organization, Clayton, MO LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 1, 2025 23.82%

Change-of-ownership history 1

Medicare enrollment files
DateEventCounterparty
Feb 27, 2025 Change of OwnershipThis provider was the buyer Providence Soundhomecare and HospiceCCN 507004, WA, NPI 1063415198

National Provider Directory

National Provider Directory
Tax ID family
CP Sound Wa LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4200 6th Ave SE
Ste 201
Lacey, WA 98503
Phone (360) 459-8311

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

4200 6TH Ave SE
Suite 201
Lacey, WA 98503-1042

Mailing address

1341 W Battlefield
Suite 110
Springfield, MO 65807
Phone (417) 841-4834

Other practice location 1

1010 S Scheuber Rd
Centralia, WA 98531-8892
Phone (360) 459-8311

Other practice location 2

2146 W Railroad Ave
Shelton, WA 98584-7126
Phone (360) 459-8311

Other names 2

NPPES NPI Registry
  • Providence at Home with Compassus Home Health, Puget Sound South Doing business as
  • Providence at Home with Compassus Hospice Care, Puget Sound South Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 21, 2025.

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1669294708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 W BATTLEFIELD",
            "address_2": "SUITE 110",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65807",
            "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": "4200 6TH AVE SE",
            "address_2": "SUITE 201",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031042",
            "telephone_number": "360-459-8311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 S Scheuber Rd",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "WA",
            "postal_code": "985318892",
            "country_code": "US",
            "telephone_number": "360-459-8311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2146 W Railroad Ave",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "WA",
            "postal_code": "985847126",
            "country_code": "US",
            "telephone_number": "360-459-8311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CP SOUND WA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence at Home with Compassus Home Health, Puget Sound South",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Providence at Home with Compassus Hospice Care, Puget Sound South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lacey, WA

Sources for this page

Verify at the official NPI Registry.