Active NPI
Hospice Advantage, LLC,
- Community Based Hospice Care Agency
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 2036
- Legal business name
- HOSPICE ADVANTAGE, LLC,
- Practice address
- 2960 Allied St Ste 105
Green Bay, WI 54304-5542 - Phone
- (920) 321-2004
- Fax
- (920) 321-2005
- NPI assigned
- Feb 14, 2013
- Last updated
- May 19, 2020
- 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 | 2036 | WI | Primary |
Addresses
Primary practice location
2960 Allied St Ste 105
Green Bay, WI 54304-5542
Mailing address
10 Cadillac Dr Ste 400
Brentwood, TN 37027-1001
Phone (615) 377-7022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130311000169 | WI | Part A Provider - Hospice | 3779544960 | Practice locations: Green Bay, WI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1801136643. Details of each certification follow.
Hospice certification: CCN 521595
- Legal name
- HOSPICE ADVANTAGE LLC
- Doing business as
- COMPASSUS-GREEN BAY
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jul 19, 2013
- Last certification
- Jul 19, 2013
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Sep 8, 2004 in FL
- Enrollment address
- 2960 Allied St
Ste 105
Green Bay, WI 54304-5542
Care Compare: Hospice
Medicare Care Compare- Listed as
- Compassus Green Bay
- Ownership
- For-Profit
- Certified
- Jul 19, 2013
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Hospice Advantage LLC
Other organizations with this tax ID 36
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Compassus - Milwaukee
- Community Based Hospice Care Agency
- Sheboygan, WI
- NPI 1306883947
-
- Community Based Hospice Care Agency
- Fond Du Lac, WI
- NPI 1518062579
-
dba Compassus - Green Bay
- Hospice and Palliative Medicine (Family Medicine) Physician
- Green Bay, WI
- NPI 1093496705
-
dba Home & Hospice Advantage, Inc.
- Home Health Agency
- Flint, MI
- NPI 1316997950
-
dba Compassus - Lansing
- Hospice and Palliative Medicine (Family Medicine) Physician
- Lansing, MI
- NPI 1053912592
-
dba Compassus - Bay City
- Community Based Hospice Care Agency
- Saginaw, MI
- NPI 1104815752
-
- Community Based Hospice Care Agency
- Duluth, GA
- NPI 1316481716
-
dba Compassus - Athens
- Community Based Hospice Care Agency
- Athens, GA
- NPI 1316963887
-
dba Compassus - Kennesaw
- Community Based Hospice Care Agency
- Kennesaw, GA
- NPI 1497709802
-
dba Compassus - Lansing
- Community Based Hospice Care Agency
- Lansing, MI
- NPI 1548236557
-
dba Compassus - Atlanta
- Community Based Hospice Care Agency
- Duluth, GA
- NPI 1558305334
-
dba Compassus - Indianapolis
- Hospice and Palliative Medicine (Family Medicine) Physician
- Muncie, IN
- NPI 1700346004
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Auburn, AL
- NPI 1093238248
Member Of
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.
| 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 | Oct 7, 2015 | 87% |
| Russell G Adkins | Corporate Officer | Oct 7, 2015 | |
| Operational/Managerial Control | Oct 7, 2015 | ||
| Compassus Holdings, L.P. | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 100% |
| 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% |
| 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. | Operational/Managerial Control | Jun 1, 2017 | 100% |
| Ti V Compassus Investment Aggregator, L.P. | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 49.5% |
| Hospice Advantage Midco LLC | 5% Or Greater Direct Ownership Interest | Oct 7, 2015 | 100% |
| Towerbrook Investors V (Onshore) LP | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 29.75% |
| Hospice Advantage Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Oct 7, 2015 | 100% |
| Towerbrook Investors V (892), L.P. | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 14.14% |
| FC Compassus Hospice Blocker, LLC | 5% Or Greater Indirect Ownership Interest | Oct 7, 2015 | 13% |
| Stacey Werner | W-2 Managing Employee | Sep 23, 2024 | |
| Compassus Intermediate, Inc. | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 100% |
| Michael Asselta | Corporate Officer | May 2, 2024 | |
| Ti V ASC Compassus Investment Aggregator LP | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 99% |
| Kelsey M Kienert | Contracted Managing Employee | Apr 5, 2021 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Neenah, WI
- NPI 1134501190
Contracted Managing Employee
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Auburn, AL
- NPI 1093238248
5% Or Greater Direct Ownership Interest
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Compassus-Florence | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Dec 14, 2012 |
| Compassus- North Georgia II | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Oct 7, 2015 |
| Compassus - Auburn | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Dec 14, 2012 |
Facilities with the same owner 162
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 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 - Northern Wisconsin
- Community Based Hospice Care Agency
- Arbor Vitae, WI
- NPI 1740897925
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 - Central Wisconsin
- Community Based Hospice Care Agency
- Marshfield, WI
- NPI 1902413180
Ascension Towerbrook Healthcare Opportunities LP, Community Hospices of America, LLC., Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (Onshore
-
dba Compassus - Wausau
- Community Based Hospice Care Agency
- Plover, WI
- NPI 1114534344
Ascension Towerbrook Healthcare Opportunities LP, Community Hospices of America, LLC., Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (Onshore
-
dba Compassus - Milwaukee Metro
- Community Based Hospice Care Agency
- Milwaukee, WI
- NPI 1356958532
Ascension Towerbrook Healthcare Opportunities LP, Community Hospices of America, LLC., Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Towerbrook Investors V (Onshore) LP
-
dba Compassus - Milwaukee
- Community Based Hospice Care Agency
- Sheboygan, WI
- NPI 1306883947
Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Community Hospices of America, LLC., Compassus Holdings, L.P., Compassus Intermediate, Inc., Compassus Parent, Inc., FC Compassus Hospice Blocker, LLC, FC Compassus LLC
-
dba Compassus Home Health
- Home Health Agency
- Marshfield, WI
- NPI 1245277144
Ascension Towerbrook Healthcare Opportunities LP, FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Towerbrook Investors V (Onshore) LP
-
dba Compassus Home Health
- Home Health Agency
- Rhinelander, WI
- NPI 1366480089
Ascension Towerbrook Healthcare Opportunities LP, FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Towerbrook Investors V (Onshore) LP
-
dba Ascension at Home
- Home Health Agency
- Sturgeon Bay, WI
- NPI 1376580365
Ascension Towerbrook Healthcare Opportunities LP, FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Towerbrook Investors V (Onshore) LP
-
dba Ascension at Home
- Home Health Agency
- Neenah, WI
- NPI 1619914694
Ascension Towerbrook Healthcare Opportunities LP, FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Towerbrook Investors V (Onshore) LP
-
dba Ascension at Home
- Home Health Agency
- Milwaukee, WI
- NPI 1003820861
Ascension Towerbrook Healthcare Opportunities LP, Compassus Holdings, L.P., 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 Ascension Saint Thomas at Home
- Home Health Agency
- Centerville, TN
- NPI 1780462556
Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Towerbrook Investors V (892), L.P., Towerbrook Investors V (Onshore) LP
Practitioners & affiliated clinicians
Affiliated clinicians 16
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Appleton, WI
- NPI 1942720727
Hospice
-
- Family Medicine Physician
- Sturgeon Bay, WI
- NPI 1740295237
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589846400000",
"number": "1801136643",
"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": "615-377-7022",
"fax_number": "615-373-4457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2960 ALLIED ST STE 105",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543045542",
"telephone_number": "920-321-2004",
"fax_number": "920-321-2005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPICE ADVANTAGE, LLC,",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-14",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"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": "WI",
"license": "2036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.