Active NPI
CP St. Mary Wa HH, LLC
- Home Health Agency
- Walla Walla, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CP ST. MARY WA HH, LLC
- Practice address
- 380 Chase Ave
Walla Walla, WA 99362-2924 - Phone
- (509) 897-8600
- NPI assigned
- Oct 30, 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) 926-0340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
380 Chase Ave
Walla Walla, WA 99362-2924
Mailing address
1341 W Battlefield
Suite 110
Springfield, MO 65807
Phone (417) 841-4834
Other names 1
- Providence at Home with Compassus Home Health, Walla Walla
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250414000904 | WA | Part A Provider - Home Health Agency | 9830613645 | Practice locations: Walla Walla, WA |
Home health agency certification: CCN 507034
- Legal name
- CP ST. MARY WA HH, LLC
- Doing business as
- PROVIDENCE AT HOME WITH COMPASSUS HOME HEALTH, WALLA WALLA
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 28, 1975
- Last certification
- May 1, 2019
- Ownership / control type
- Non-Profit
- Most recent change of ownership
- Feb 27, 2025
- Organization structure
- LLC
- Enrollment address
- 380 Chase Ave
Walla Walla, WA 99362-2924
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Providence at Home With Compassus Home Health, Walla Walla
- Overall star rating
- Ownership
- Non-Profit
- Certified
- Jan 28, 1975
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D0885089 | Providence at Home With Compassus Home Health | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryOwnership & 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% |
| CP St Mary Wa HH Holdings LLC | 5% Or Greater Direct Ownership Interest | Feb 27, 2025 | 100% |
| Catherine Sloan | Corporate Officer | Mar 1, 2025 | |
| Russell G Adkins | Corporate Officer | Mar 1, 2025 | |
| Ascension Towerbrook Healthcare Opportunties LP | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 23.82% |
| Ti V ASC Compassus Investment Aggregator, L.P. | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 48.75% |
| 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% |
| 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 | 23.81% |
| Ti V Compassus Investment Aggregator, L.P. | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 24.92% |
| Towerbrook Investors V (Onshore) LP | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 14.98% |
| Towerbrook Investors V (892), L.P. | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 7.11% |
| Providence Health & Services | 5% Or Greater Indirect Ownership Interest | Feb 27, 2025 | 50% |
| Ann Halstrom | W-2 Managing Employee | Feb 27, 2025 | |
| Compassus Providence Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Feb 27, 2025 | 100% |
| Compassus Intermediate, Inc. | 5% Or Greater Indirect Ownership Interest | Mar 1, 2025 | 50% |
| Michael Asselta | Corporate Officer | Mar 1, 2025 | |
| 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 | 23.81% |
Facilities with the same owner 292
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Home Health Agency
- Tukwila, WA
- NPI 1972325983
Ascension Capital, LLC, Ascension Health Alliance, Compassus Intermediate, Inc., Compassus Parent, Inc., Compassus Providence Holdings, LLC, CP Wa Holdings LLC, FC Compassus LLC, Providence Health & Services, Providence Health & Services - Washing
-
- Community Based Hospice Care Agency
- Tukwila, WA
- NPI 1174345193
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, Providence St. Joseph Heal
-
- Community Based Hospice Care Agency
- Everett, WA
- NPI 1184446221
Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunties LP, Compassus Holdings LP, Compassus Parent, Inc., Compassus Providence Holdings, LLC, CP Wa Holdings LLC, FC Compassus LLC, Providence Health & Services, Providence Health &
-
- Home Health Agency
- Everett, WA
- NPI 1720800857
Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunties LP, Compassus Holdings LP, Compassus Parent, Inc., Compassus Providence Holdings, LLC, CP Wa Holdings LLC, FC Compassus LLC, Providence Health & Services, Providence Health &
-
- Community Based Hospice Care Agency
- Lacey, WA
- NPI 1659193795
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, Providence St. Joseph Heal
-
- Home Health Agency
- Lacey, WA
- NPI 1669294708
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
-
- Home Health Agency
- Spokane Valley, WA
- NPI 1033931043
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 - Washingt
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
Providence Health & Services - Washington
-
- Rehabilitation Hospital
- Lynnwood, WA
- NPI 1306628821
Providence Health & Services - Washington
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1144471715
Providence Health & Services, Providence Health & Services - Washington, Providence St. Joseph Health
-
- Medicare Defined Swing Bed Hospital Unit
- Chewelah, WA
- NPI 1447402839
Providence Health & Services, Providence Health & Services - Washington, Providence St. Joseph Health
-
- 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 St Mary Home Health |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Home Health Agency
- Walla Walla, WA
- NPI 1558512368
Acquired from, 2025-02-27
Practitioners & affiliated clinicians
Affiliated clinicians 37
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Physician Assistant
- Walla Walla, WA
- NPI 1164195038
Home health agency
-
- Internal Medicine Physician
- Walla Walla, WA
- NPI 1750818019
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761004800000",
"number": "1730901745",
"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": "380 CHASE AVE",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993622924",
"telephone_number": "509-897-8600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CP ST. MARY WA HH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-30",
"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, Walla Walla",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Walla Walla, WA
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.