Organization Active NPI

Compassus Aah of Wisconsin I, LLC

Doing business as Compassus - Neenah

  • Community Based Hospice Care Agency
  • Neenah, WI
National Provider Identifier
1851908032
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
COMPASSUS AAH OF WISCONSIN I, LLC
Doing business as
Compassus - Neenah
Practice address
816 W Winneconne Ave
Neenah, WI 54956-3196
Phone
(920) 727-2000
Fax
(844) 887-0048
NPI assigned
Sep 30, 2020
Last updated
Sep 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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 NU Primary

Addresses

Primary practice location

816 W Winneconne Ave
Neenah, WI 54956-3196

Mailing address

10 Cadillac Dr Ste 400
Brentwood, TN 37027-1001
Phone (417) 841-4834

Other names 1

  • Compassus - Neenah Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201106001248 WI Part A Provider - Hospice 8022428846 Practice locations: Neenah, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851908032. Details of each certification follow.

Hospice certification: CCN 521526

Legal name
COMPASSUS AAH OF WISCONSIN I LLC
Doing business as
COMPASSUS - NEENAH
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 15, 1989
Last certification
Mar 10, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Aug 3, 2020 in DE
Enrollment address
816 W Winneconne Ave
Neenah, WI 54956-3196

Care Compare: Hospice

Medicare Care Compare
Listed as
Compassus NeenahCCN 521526 · All quality measures
Ownership
For-Profit
Certified
Dec 15, 1989
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
52D2075980Compassus - Neenah816 W Winneconne Ave, Neenah, WI 54956Certificate of waiverApr 8, 2028

National Provider Directory

National Provider Directory

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.

NameRoleSinceShare
Compassus Parent, Inc. Organization, New York, NY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 100%
FC Compassus LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 100%
Washington State Investment Board Organization, Olympia, WA LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 5.28%
Russell G Adkins Individual Corporate OfficerSenior Vice President, General C Oct 1, 2020
Operational/Managerial ControlSenior Vice President, General C Oct 1, 2020
Towerbrook Investors V 892 LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 14.23%
David F Grams Individual Corporate OfficerCeo Jan 31, 2022
Operational/Managerial ControlCeo Jan 31, 2022
Compassus Aah Holdings LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 100%
Ascension Towerbrook Healthcare Opportunities LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 47.66%
Compassus Holdings LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 100%
Laura a Templeton Individual Corporate OfficerEvp, Chief Operating Officer Apr 12, 2023
Operational/Managerial ControlEvp, Chief Operating Officer Apr 12, 2023
Andrea D Setnik Individual W-2 Managing EmployeeAd; Oct 12, 2023
Compassus Aah Holdings of Wisconsin LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Oct 1, 2020 100%
Ti V Compassus Investment Aggregator, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 49.84%
Compassus Intermediate Inc Organization, New York, NY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 100%
Towerbrook Investors V (Onshore) LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 29.96%
Ascension Capital LLC Organization, Clayton, MO LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 47.63%
Ascension Health Alliance Organization, Clayton, MO Non-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 47.63%
Ti V ASC Compassus Investment Aggregator LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 97.5%
Kelsey M Kienert Individual Contracted Managing EmployeeMD; Apr 5, 2021

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.

View all 166

Practitioners & affiliated clinicians

Affiliated clinicians 15

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 15

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": "1601424000000",
    "number": "1851908032",
    "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": "816 W WINNECONNE AVE",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563196",
            "telephone_number": "920-727-2000",
            "fax_number": "844-887-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSUS AAH OF WISCONSIN I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "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 - Neenah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Neenah, WI

Sources for this page

Verify at the official NPI Registry.