Life Choice Hospice of Southern Massachusetts LLC
Organization Active NPI Community Based Hospice Care Agency · North Andover, MA
NPI 1780937649 · NPPES record last updated Apr 8, 2019
Key facts
- NPI
- 1780937649
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- LIFE CHOICE HOSPICE OF SOUTHERN MASSACHUSETTS LLC
- 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
- Organization subpart
- No
Authorized official
- Name
- Russell Adkins
- Title
- SVP General Counsel
- Phone
- (615) 309-5668
Owners & managing parties with NPI records 1
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Facilities with the same owner 162
Practitioners 2
-
Caroline Tafadzwa Tigere, APRN-BC
Affiliated clinicians 12
-
Awais Alam, M.D.
-
Azadeh Assarpour, M.D.
-
Steven Bbuye, M.D
-
Alison Curcio, MD
-
Anita Kumar, M.D.
-
Saira Nisar, M.D.
-
Cherie Noe, MD
-
Kirubakaran Siva, DO
-
Candace Lewann Thompson, D.O.
-
James D. Tollman, MD
Medicare Care Compare: Hospice
- Listed as
- Compassus - Southern Massachusetts
- Ownership
- For-Profit
- Certified
- Apr 16, 2002
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D1074145 | Compassus-Southern Massachusetts | Certificate of waiver | Aug 2, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
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
- LLC · Proprietary
- Incorporated
- Aug 10, 2012 in DE
- Enrollment address
- 790 Turnpike St
Ste 202
North Andover, MA 01845-6138
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| Compassus Parent, Inc. |
5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 100% |
| FC Compassus LLC |
5% Or Greater Indirect Ownership Interest | Mar 31, 2015 | 100% |
| Russell G Adkins |
Corporate Officer |
Apr 1, 2015 | |
| Operational/Managerial Control | Apr 1, 2015 | ||
| Other | Apr 1, 2015 | ||
| Janarthanan Someswarananthan |
Contracted Managing Employee |
Dec 1, 2015 | |
| Compassus Holdings, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 100% |
| David F Grams |
Corporate Officer |
Jan 31, 2022 | |
| Operational/Managerial Control |
Jan 31, 2022 | ||
| Ti V ASC Compassus Investment Aggregator, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 99% |
| Ascension Towerbrook Healthcare Opportunities LP |
5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 49.5% |
| Ascension Capital, LLC |
5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 49.48% |
| National Hospice Holdings of Massachusetts, LLC |
5% Or Greater Direct Ownership Interest | Jul 31, 2013 | 100% |
| Ruth E Frasca |
W-2 Managing Employee |
Oct 1, 2021 | |
| Laura a Templeton |
Corporate Officer |
Apr 12, 2023 | |
| Operational/Managerial Control |
Apr 12, 2023 | ||
| Ascension Health Alliance |
5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 49.48% |
| Community Hospices of America, LLC. |
Other | Dec 22, 2014 | |
| Ti V Compassus Investment Aggregator, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 49.5% |
| Washington State Investment Board |
5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 5.24% |
| Towerbrook Investors V (Onshore) LP |
5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 29.75% |
| FC Compassus Sub LLC |
5% Or Greater Indirect Ownership Interest | Mar 31, 2015 | 100% |
| Towerbrook Investors V (892), L.P. |
5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 14.14% |
| Compassus Intermediate, Inc. |
5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130605000079 | MA | Part a Provider - Hospice | 3971741844 | Practice locations: North Andover, MA |
National Provider Directory
- Tax ID family
- Allegiance Hospice Care of Southeastern Massachusetts LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
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
- Compassus - Southern Massachusetts
Other providers in North Andover, MA
- Sharon Lewin
- Kasey M Libby
- Sarah Olivia Libby
- Whitney A Liechti
- Life Choice Hospice of Southern Massachusetts LLC
- Lifestyle Prosthetics & Orthotics, Inc.
- Lilac Counseling
- Kimberly T. Limoli
- Lindea Inc
- Linden Recovery Therapy Services
All providers in North Andover, MA · Community Based Hospice Care Agency in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.