Active NPI
CP Sound Wa, LLC
Doing business as Providence at Home with Compassus Home Health, Puget Sound South
- Home Health Agency
- Lacey, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CP SOUND WA, LLC
- Doing business as
- Providence at Home with Compassus Home Health, Puget Sound South
Providence at Home with Compassus Hospice Care, Puget Sound South - Practice address
- 4200 6TH Ave SE
Suite 201
Lacey, WA 98503-1042 - Phone
- (360) 459-8311
- NPI assigned
- Oct 29, 2024
- Last updated
- Oct 21, 2025
- 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) 926-0340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
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
- Providence at Home with Compassus Home Health, Puget Sound South
- Providence at Home with Compassus Hospice Care, Puget Sound South
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250321000465 | WA | Part A Provider - Home Health Agency | 2365964145 | Practice locations: Lacey, WA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1669294708. Details of each certification follow.
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
- LLC
- Enrollment address
- 4200 6TH Ave SE
Ste 201
Lacey, WA 98503-1042
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Providence at Home with Compassus Hospice Care, Puget Sound South
- Community Based Hospice Care Agency
- Lacey, WA
- NPI 1659193795
2365964145
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Providence at Home With Compassus, Puget Sound South
- Overall star rating
- Ownership
- Non-Profit
- Certified
- Dec 1, 1978
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- CP Sound Wa LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Providence at Home with Compassus Hospice Care, Puget Sound South
- Community Based Hospice Care Agency
- Lacey, WA
- NPI 1659193795
Locations
1010 S Scheuber Rd
Centralia, WA 98531
Phone (360) 330-8585
Ownership & related parties
All disclosed owners & managing parties 22
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 | Mar 1, 2025 | 50% |
| John Cullen | Corporate Officer | Mar 1, 2025 | |
| FC Compassus LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 50% |
| Catherine Sloan | Corporate Officer | Mar 1, 2025 | |
| Russell G Adkins | Corporate Officer | Mar 1, 2025 | |
| Towerbrook Investors V 892 LP | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 7.11% |
| Providence Health & Services - Washington | 5% Or Greater Indirect Ownership Interest | Feb 27, 2025 | 50% |
| CP Wa Holdings LLC | 5% Or Greater Indirect Ownership Interest | Feb 27, 2025 | 100% |
| Ascension Towerbrook Healthcare Opportunities LP | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 23.83% |
| Compassus Holdings LP | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 50% |
| Ascension Capital, LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 23.82% |
| Jill Ransom | W-2 Managing Employee | Feb 27, 2025 | |
| Ti V Compassus Investment Aggregator, L.P. | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 24.92% |
| Compassus Intermediate Inc | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 50% |
| Towerbrook Investors V (Onshore) LP | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 14.98% |
| Providence Health & Services | 5% Or Greater Indirect Ownership Interest | Feb 27, 2025 | 50% |
| Compassus Providence Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Feb 27, 2025 | 100% |
| CP Sound Wa Holdings LLC | 5% Or Greater Direct Ownership Interest | Feb 27, 2025 | 100% |
| Michael Asselta | Corporate Officer | Mar 1, 2025 | |
| Ti V ASC Compassus Investment Aggregator LP | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 48.75% |
| Providence St. Joseph Health | 5% Or Greater Indirect Ownership Interest | Feb 27, 2025 | 50% |
| Ascension Health Alliance | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 23.82% |
Facilities with the same owner 292
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Providence at Home with Compassus Home Health, King
- Home Health Agency
- Tukwila, WA
- NPI 1972325983
Ascension Capital, LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Parent, Inc., Compassus Providence Holdings, LLC, CP Wa Holdings LLC, FC Compassus LLC, Providence Health & Services, Providence Health
-
dba Providence at Home with Compassus Hospice Care, Puget Sound
- Community Based Hospice Care Agency
- Tukwila, WA
- NPI 1174345193
Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Holdings LP, Compassus Intermediate Inc, Compassus Parent, Inc., Compassus Providence Holdings, LLC, CP Wa Holdings LLC, FC Compassus LLC, Providence Health & S
-
dba Providence at Home with Compassus Home Health, Snohomish County
- Community Based Hospice Care Agency
- Everett, WA
- NPI 1184446221
Ascension Health Alliance, Compassus Holdings LP, Compassus Intermediate Inc, Compassus Parent, Inc., Compassus Providence Holdings, LLC, CP Wa Holdings LLC, FC Compassus LLC, Providence Health & Services, Providence Health & Services - Washington
-
dba Providence at Home with Compassus Hospice Care, Snohomish County
- Home Health Agency
- Everett, WA
- NPI 1720800857
Ascension Health Alliance, Compassus Holdings LP, Compassus Intermediate Inc, Compassus Parent, Inc., Compassus Providence Holdings, LLC, CP Wa Holdings LLC, FC Compassus LLC, Providence Health & Services, Providence Health & Services - Washington
-
dba Providence at Home with Compassus Hospice Care, Puget Sound South
- Community Based Hospice Care Agency
- Lacey, WA
- NPI 1659193795
Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Holdings LP, Compassus Intermediate Inc, Compassus Parent, Inc., Compassus Providence Holdings, LLC, CP Sound Wa Holdings LLC, CP Wa Holdings LLC, FC Compassus
-
dba Providence at Home with Compassus Home Health, INWA
- Home Health Agency
- Spokane Valley, WA
- NPI 1033931043
Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Holdings LP, Compassus Parent, Inc., Compassus Providence Holdings, LLC, CP Wa Holdings LLC, FC Compassus LLC, Providence Health & Services, Providence Health &
-
dba Providence at Home with Compassus Home Health, Walla Walla
- Home Health Agency
- Walla Walla, WA
- NPI 1730901745
Ascension Capital, LLC, Ascension Health Alliance, Compassus Holdings LP, Compassus Parent, Inc., Compassus Providence Holdings, LLC, CP Wa Holdings LLC, FC Compassus LLC, Providence Health & Services, Providence Health & Services - Washington, P
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
Providence Health & Services - Washington
-
dba Providence Swedish Rehabilitation Hospital
- Rehabilitation Hospital
- Lynnwood, WA
- NPI 1306628821
Providence Health & Services - Washington
-
dba Prov Scred Hrt Med Ctr & Chlds Hos
- General Acute Care Hospital
- Spokane, WA
- NPI 1144471715
Providence Health & Services, Providence Health & Services - Washington, Providence St. Joseph Health
-
dba Providence St Joseph Hospital
- Medicare Defined Swing Bed Hospital Unit
- Chewelah, WA
- NPI 1447402839
Providence Health & Services, Providence Health & Services - Washington, Providence St. Joseph Health
-
dba Prov Scred Hrt Med Ctr & Chlds Hos
- Psychiatric Hospital Unit
- Spokane, WA
- NPI 1639320484
Providence Health & Services, Providence Health & Services - Washington, Providence St. Joseph Health
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Feb 27, 2025 | Change of Ownership | Providence Soundhomecare and Hospice |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Providence SoundHomeCare and Hospice
- Home Health Agency
- Lacey, WA
- NPI 1063415198
Acquired from, 2025-02-27
Practitioners & affiliated clinicians
Affiliated clinicians 69
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Nurse Practitioner
- Chehalis, WA
- NPI 1700228152
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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
- Reva Kathryn Coulter
- Council Home Care, Inc. (Visiting Angels Olympia)
- Lee Allen Cousineau, D.C.
- Jack A Cox, D.D.S.
- CP Sound Wa, LLC (Providence at Home with Compassus Hospice Care, Puget Sound South)
- Rachel Helene Craig, LICSW
- Richelle Craig
- Philip B Cramer, D.D.S.
- Loretta Sue Ann Crawford Kissel, LMHC
- William Jeffrey Crinean, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.