Organization Active NPI

Life Choice Hospice of Southern Massachusetts LLC

Doing business as Compassus - Southern Massachusetts

  • Community Based Hospice Care Agency
  • North Andover, MA
National Provider Identifier
1780937649
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LIFE CHOICE HOSPICE OF SOUTHERN MASSACHUSETTS LLC
Doing business as
Compassus - Southern Massachusetts
Practice address
790 Turnpike St Ste 202
North Andover, MA 01845-6138
Phone
(978) 777-8222
Fax
(978) 777-8224
NPI assigned
Oct 16, 2012
Last updated
Apr 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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 Primary

Addresses

Primary practice location

790 Turnpike St Ste 202
North Andover, MA 01845-6138

Mailing address

10 Cadillac Dr
Suite 400
Brentwood, TN 37027-5078
Phone (615) 377-7022

Other names 1

  • Compassus - Southern Massachusetts Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130605000079 MA Part A Provider - Hospice 3971741844 Practice locations: North Andover, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780937649. Details of each certification follow.

Hospice certification: CCN 221555

Legal name
LIFE CHOICE HOSPICE OF SOUTHERN MASSACHUSETTS LLC
Doing business as
COMPASSUS-SOUTHERN MASSACHUSETTS
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 16, 2002
Last certification
Nov 22, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Aug 10, 2012 in DE
Enrollment address
790 Turnpike St
Ste 202
North Andover, MA 01845-6138

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Compassus - Southern MassachusettsCCN 221555 · All quality measures
Ownership
For-Profit
Certified
Apr 16, 2002
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
22D1074145Compassus-Southern Massachusetts790 Turnpike St, North Andover, MA 01845Certificate of waiverAug 2, 2026

National Provider Directory

National Provider Directory
Tax ID family
Allegiance Hospice Care of Southeastern Massachusetts LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 20

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%
FC Compassus LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 31, 2015 100%
Russell G Adkins Individual Corporate OfficerManager Apr 1, 2015
Operational/Managerial Control Apr 1, 2015
Other Apr 1, 2015
Janarthanan Someswarananthan Individual Contracted Managing EmployeeMD; Dec 1, 2015
Compassus Holdings, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
David F Grams Individual Corporate OfficerCeo Jan 31, 2022
Operational/Managerial ControlCeo Jan 31, 2022
Ti V ASC Compassus Investment Aggregator, L.P. Organization, New York, NY Non-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 99%
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%
National Hospice Holdings of Massachusetts, LLC Organization, Dresher, PA For-profit 5% Or Greater Direct Ownership Interest Jul 31, 2013 100%
Ruth E Frasca Individual W-2 Managing EmployeeAd; Oct 1, 2021
Laura a Templeton Individual Corporate OfficerEvp, Chief Operating Officer Apr 12, 2023
Operational/Managerial ControlEvp, Chief Operating Officer Apr 12, 2023
Ascension Health Alliance Organization, Clayton, MO Non-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.48%
Community Hospices of America, LLC. Organization, Brentwood, TN LLC, For-profit Other Dec 22, 2014
Ti V Compassus Investment Aggregator, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.5%
Washington State Investment Board Organization, Olympia, WA For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 5.24%
Towerbrook Investors V (Onshore) LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 29.75%
FC Compassus Sub LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 31, 2015 100%
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%

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

Affiliated clinicians 12

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": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1780937649",
    "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": "615-377-7022",
            "fax_number": "615-373-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 TURNPIKE ST STE 202",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456138",
            "telephone_number": "978-777-8222",
            "fax_number": "978-777-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHOICE HOSPICE OF SOUTHERN MASSACHUSETTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2019-04-08",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassus - Southern Massachusetts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Andover, MA

Sources for this page

Verify at the official NPI Registry.