Active NPI
Compassus Aah of Wisconsin II, LLC
Doing business as Compassus - Northern Wisconsin
- Community Based Hospice Care Agency
- Arbor Vitae, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- COMPASSUS AAH OF WISCONSIN II, LLC
- Doing business as
- Compassus - Northern Wisconsin
- Practice address
- 1571 US Highway 51 N Ste C
Arbor Vitae, WI 54568-9555 - Phone
- (715) 301-7200
- NPI assigned
- Sep 30, 2020
- Last updated
- Jun 28, 2021
- 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 General Counsel
- Phone
- (615) 309-5668
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
1571 US Highway 51 N Ste C
Arbor Vitae, WI 54568-9555
Mailing address
10 Cadillac Dr Ste 400
Brentwood, TN 37027-1001
Phone (417) 841-4834
Other names 1
- Compassus - Northern Wisconsin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201106000622 | WI | Part A Provider - Hospice | 3678983483 | Practice locations: Arbor Vitae, WI; Rhinelander, WI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1740897925. Details of each certification follow.
Hospice certification: CCN 521509
- Legal name
- COMPASSUS AAH OF WISCONSIN II LLC
- Doing business as
- COMPASSUS - NORTHERN WISCONSIN
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Aug 7, 1986
- Last certification
- Apr 15, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Aug 3, 2020 in DE
- Enrollment address
- 1571 Highway 51 N
Ste C
Arbor Vitae, WI 54568-9555
Care Compare: Hospice
Medicare Care Compare- Listed as
- Compassus Northern Wisconsin
- Ownership
- For-Profit
- Certified
- Aug 7, 1986
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 52D0900060 | Compassus - Northern Wisconsin | Certificate of waiver | Jun 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
1571 US Highway 51 N
Ste C
Arbor Vitae, WI 54568
Phone (715) 301-7200
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Compassus Parent, Inc. | 5% Or Greater Indirect Ownership Interest | Oct 1, 2020 | 100% |
| FC Compassus LLC | 5% Or Greater Indirect Ownership Interest | Oct 1, 2020 | 100% |
| Washington State Investment Board | 5% Or Greater Indirect Ownership Interest | Oct 1, 2020 | 5.28% |
| Russell G Adkins | Corporate Officer | Oct 1, 2020 | |
| Operational/Managerial Control | Oct 1, 2020 | ||
| Towerbrook Investors V 892 LP | 5% Or Greater Indirect Ownership Interest | Oct 1, 2020 | 14.23% |
| Compassus Aah Holdings LLC | 5% Or Greater Indirect Ownership Interest | Oct 1, 2020 | 100% |
| Ascension Towerbrook Healthcare Opportunities LP | 5% Or Greater Indirect Ownership Interest | Oct 1, 2020 | 47.66% |
| Compassus Holdings LP | 5% Or Greater Indirect Ownership Interest | Oct 1, 2020 | 100% |
| Laura a Templeton | Corporate Officer | Apr 12, 2023 | |
| Operational/Managerial Control | Apr 12, 2023 | ||
| Jeremy R Bolling | Corporate Officer | Jan 3, 2022 | |
| Compassus Aah Holdings of Wisconsin LLC | 5% Or Greater Direct Ownership Interest | Oct 1, 2020 | 100% |
| Ti V Compassus Investment Aggregator, L.P. | 5% Or Greater Indirect Ownership Interest | Oct 1, 2020 | 49.84% |
| Compassus Intermediate Inc | 5% Or Greater Indirect Ownership Interest | Oct 1, 2020 | 100% |
| Towerbrook Investors V (Onshore) LP | 5% Or Greater Indirect Ownership Interest | Oct 1, 2020 | 29.96% |
| Oghomwen K Sule | Contracted Managing Employee | Jul 1, 2020 | |
| Ascension Capital LLC | 5% Or Greater Indirect Ownership Interest | Oct 1, 2020 | 47.63% |
| Amy L Nowak | W-2 Managing Employee | Oct 12, 2023 | |
| Ascension Health Alliance | 5% Or Greater Indirect Ownership Interest | Oct 1, 2020 | 47.63% |
| Ti V ASC Compassus Investment Aggregator LP | 5% Or Greater Indirect Ownership Interest | Oct 1, 2020 | 97.5% |
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 166
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Compassus - Neenah
- Community Based Hospice Care Agency
- Neenah, WI
- NPI 1851908032
Ascension Capital LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Aah Holdings LLC, Compassus Aah Holdings of Wisconsin LLC, Compassus Holdings LP, Compassus Intermediate Inc, Compassus Parent, Inc., FC
-
dba Compassus - Central Wisconsin
- Community Based Hospice Care Agency
- Marshfield, WI
- NPI 1902413180
Ascension Capital LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Aah Holdings LLC, Compassus Aah Holdings of Wisconsin LLC, Compassus Holdings LP, Compassus Intermediate Inc, Compassus Parent, Inc., FC
-
dba Compassus - Wausau
- Community Based Hospice Care Agency
- Plover, WI
- NPI 1114534344
Ascension Capital LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Aah Holdings LLC, Compassus Aah Holdings of Wisconsin LLC, Compassus Holdings LP, Compassus Intermediate Inc, Compassus Parent, Inc., FC
-
dba Compassus - Milwaukee Metro
- Community Based Hospice Care Agency
- Milwaukee, WI
- NPI 1356958532
Ascension Capital LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Aah Holdings LLC, Compassus Aah Holdings of Wisconsin LLC, Compassus Holdings LP, Compassus Intermediate Inc, Compassus Parent, Inc., FC
-
dba Compassus - Milwaukee
- Community Based Hospice Care Agency
- Sheboygan, WI
- NPI 1306883947
Ascension Towerbrook Healthcare Opportunities LP, Compassus Parent, Inc., FC Compassus LLC, Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (Onshore) LP
-
- Community Based Hospice Care Agency
- Green Bay, WI
- NPI 1801136643
Ascension Towerbrook Healthcare Opportunities LP, Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (Onshore) LP
-
dba Compassus Home Health
- Home Health Agency
- Marshfield, WI
- NPI 1245277144
Ascension Capital LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Holdings LP, Compassus Intermediate Inc, FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Towerbrook Investors V (Onshore) L
-
dba Compassus Home Health
- Home Health Agency
- Rhinelander, WI
- NPI 1366480089
Ascension Capital LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Holdings LP, Compassus Intermediate Inc, FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Towerbrook Investors V (Onshore) L
-
dba Ascension at Home
- Home Health Agency
- Sturgeon Bay, WI
- NPI 1376580365
Ascension Capital LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Holdings LP, Compassus Intermediate Inc, FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Towerbrook Investors V (Onshore) L
-
dba Ascension at Home
- Home Health Agency
- Neenah, WI
- NPI 1619914694
Ascension Capital LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Holdings LP, Compassus Intermediate Inc, FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Towerbrook Investors V (Onshore) L
-
dba Ascension at Home
- Home Health Agency
- Milwaukee, WI
- NPI 1003820861
Ascension Capital LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Intermediate Inc, Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Ti V Compassus Investment Aggrega
-
dba Ascension Saint Thomas at Home
- Home Health Agency
- Centerville, TN
- NPI 1780462556
Ascension Capital LLC, Compassus Holdings LP, Compassus Intermediate Inc, Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Towerbrook Investors V (Onshore) LP
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Oct 1, 2020 | Change of Ownership | Ascension at Home |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Community Based Hospice Care Agency
- Arbor Vitae, WI
- NPI 1861435471
Acquired from, 2020-10-01
Practitioners & affiliated clinicians
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": "1601424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624838400000",
"number": "1740897925",
"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",
"fax_number": "866-955-8538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1571 US HIGHWAY 51 N STE C",
"city": "ARBOR VITAE",
"state": "WI",
"postal_code": "545689555",
"telephone_number": "715-301-7200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPASSUS AAH OF WISCONSIN II, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-30",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"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": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Compassus - Northern Wisconsin",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Compassus - Northern Wisconsin",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Arbor Vitae, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.