Organization Active NPI

HC Healthcare, LLC

  • Community Based Hospice Care Agency
  • Fort Payne, AL
National Provider Identifier
1861688558
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HC HEALTHCARE, LLC
Practice address
1951 Gault Ave N
Fort Payne, AL 35967-3417
Phone
(256) 844-2288
Fax
(256) 844-2289
NPI assigned
Sep 17, 2007
Last updated
Jan 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kayanne Mynsberge, RN
Title
Coo
Phone
(989) 891-2206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1951 Gault Ave N
Fort Payne, AL 35967-3417

Mailing address

401 Center Ave
Bay City, MI 48708-5939
Phone (989) 891-2210

Other names 1

  • HC Healthcare, Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080528000310 AL Part A Provider - Hospice 2264342112 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Huntsville, AL; Florence, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861688558. Details of each certification follow.

Hospice certification: CCN 011678

Legal name
HC HEALTHCARE, LLC
Doing business as
COMPASSUS-FLORENCE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 30, 2008
Last certification
Oct 23, 2014
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Aug 8, 2004 in DE
Enrollment address
507 East Drive Hicks Blvd
Florence, AL 35630-5771

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospice

Medicare Care Compare
Listed as
Compassus-FlorenceCCN 011678 · All quality measures
Ownership
For-Profit
Certified
Dec 30, 2008
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 21

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 Oct 7, 2015 100%
Washington State Investment Board Organization, Olympia, WA For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 5.24%
Russell G Adkins Individual Corporate OfficerGen Counsel, Senior VP,Secretary Dec 22, 2014
Operational/Managerial Control Oct 7, 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 For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 99%
Elizabeth a Butler Individual W-2 Managing EmployeeAd; Jun 22, 2022
Hospice Advantage LLC Organization, Brentwood, TN For-profit 5% Or Greater Direct Ownership Interest Dec 14, 2012 100%
Ascension Towerbrook Healthcare Opportunities LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49%
Ascension Capital, LLC Organization, Clayton, MO LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.48%
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%
Ti V Compassus Investment Aggregator, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.5%
Hospice Advantage Midco LLC Organization, Brentwood, TN For-profit 5% Or Greater Indirect Ownership Interest Oct 7, 2015 100%
Towerbrook Investors V (Onshore) LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019
Hospice Advantage Holdings, LLC Organization, Brentwood, TN Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 14, 2012 100%
Towerbrook Investors V (892), L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 14.14%
FC Compassus Hospice Blocker, LLC Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Direct Ownership Interest Oct 7, 2015 13%
Compassus Intermediate, Inc. Organization, New York, NY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
Cheryl Carden Bazzle Individual Contracted Managing EmployeeMD; Jan 1, 2016

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1861688558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CENTER AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085939",
            "telephone_number": "989-891-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 GAULT AVE N",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359673417",
            "telephone_number": "256-844-2288",
            "fax_number": "256-844-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HC HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "MYNSBERGE",
        "authorized_official_first_name": "KAYANNE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "989-891-2206",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HC Healthcare, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fort Payne, AL

Sources for this page

Verify at the official NPI Registry.