Active NPI
HC Healthcare, LLC
- Community Based Hospice Care Agency
- Fort Payne, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2013
- 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
- Kayanne Mynsberge, RN
- Title
- Coo
- Phone
- (989) 891-2206
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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.
-
dba Compassus - Huntsville
- Community Based Hospice Care Agency
- Huntsville, AL
- NPI 1124214812
O20080528000310
Care Compare: Hospice
Medicare Care Compare- Listed as
- Compassus-Florence
- Ownership
- For-Profit
- Certified
- Dec 30, 2008
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryOwnership & 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.
| 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 | 100% |
| Washington State Investment Board | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 5.24% |
| Russell G Adkins | Corporate Officer | Dec 22, 2014 | |
| Operational/Managerial Control | Oct 7, 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% |
| Elizabeth a Butler | W-2 Managing Employee | Jun 22, 2022 | |
| Hospice Advantage LLC | 5% Or Greater Direct Ownership Interest | Dec 14, 2012 | 100% |
| Ascension Towerbrook Healthcare Opportunities LP | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 49% |
| 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% |
| 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 Indirect Ownership Interest | Oct 7, 2015 | 100% |
| Towerbrook Investors V (Onshore) LP | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | |
| Hospice Advantage Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Dec 14, 2012 | 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 Direct Ownership Interest | Oct 7, 2015 | 13% |
| Compassus Intermediate, Inc. | 5% Or Greater Indirect Ownership Interest | Dec 31, 2019 | 100% |
| Cheryl Carden Bazzle | Contracted Managing Employee | 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.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Auburn, AL
- NPI 1093238248
5% Or Greater Indirect Ownership Interest
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.