NPIMap

Organization Active NPI

Compassus Aah of Michigan IV, LLC

Doing business as Compassus - Grand Blanc

  • Community Based Hospice Care Agency
  • Grand Blanc, MI
National Provider Identifier
1962019141
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 MICHIGAN IV, LLC
Doing business as
Compassus - Grand Blanc
Practice address
5445 Ali Dr Dept 600
Grand Blanc, MI 48439-5195
Phone
(810) 344-8396
Fax
(844) 552-6192
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 Primary

Addresses

Primary practice location

5445 Ali Dr Dept 600
Grand Blanc, MI 48439-5195

Mailing address

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

Other names 1

  • Compassus - Grand Blanc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201109000777 MI Part A Provider - Hospice 6507276268 Practice locations: Grand Blanc, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962019141. Details of each certification follow.

Hospice certification: CCN 231509

Legal name
COMPASSUS AAH OF MICHIGAN IV LLC
Doing business as
COMPASSUS - GRAND BLANC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 18, 1985
Last certification
May 5, 2016
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Aug 3, 2020 in DE
Enrollment address
5445 Ali Dr
Dept 600
Grand Blanc, MI 48439-5195

Care Compare: Hospice

Medicare Care Compare
Listed as
Compassus - Grand BlancCCN 231509 · All quality measures
Ownership
Non-Profit
Certified
Mar 18, 1985
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
23D0716892Compassus Aah of Michigan IV LLC5445 Ali Drive Dept 600, Grand Blanc, MI 48439Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

5445 Ali Dr
Dept 600
Grand Blanc, MI 48439
Phone (810) 344-8396

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 Oct 1, 2020 100%
Billy Andrew Pate Individual Corporate OfficerEvp/Coo Jul 1, 2025
John Cullen Individual Corporate OfficerCoo Jul 1, 2025
FC Compassus LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 100%
Russell G Adkins Individual Corporate OfficerSenior Vice President, General 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%
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%
Najab Mohammed Mirza Individual Contracted Managing EmployeeMD; Mar 1, 2021
Laura a Templeton Individual Corporate OfficerEvp, Chief Operating Officer Apr 12, 2023
Operational/Managerial ControlEvp, Chief Operating Officer Apr 12, 2023
Jeremy R Bolling Individual Corporate OfficerDivision President Jan 3, 2022
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%
Compassus Aah Holdings of Michigan LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Oct 1, 2020 100%
Ascension Health Alliance Organization, Clayton, MO Non-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 47.63%
Michael Asselta Individual Corporate OfficerCeo May 2, 2024
Ti V ASC Compassus Investment Aggregator LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2020 97.5%
Kimberly Weaver Individual W-2 Managing EmployeeAd; Jul 1, 2025

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 162

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Compassus Aah of Michigan I, LLC

    dba Compassus - Northern Detroit

    • Community Based Hospice Care Agency
    • Warren, MI
    • NPI 1548877715

    Ascension Capital LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Aah Holdings LLC, Compassus Aah Holdings of Michigan LLC, Compassus Holdings LP, Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compa

    CMS ownership
  • Compassus Aah of Michigan II, LLC

    dba Compassus - Kalamazoo

    • Community Based Hospice Care Agency
    • Portage, MI
    • NPI 1528675790

    Ascension Capital LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Aah Holdings LLC, Compassus Aah Holdings of Michigan LLC, Compassus Holdings LP, Compassus Intermediate Inc, Compassus Parent, Inc., FC C

    CMS ownership
  • Hospice Advantage, LLC

    dba Compassus - Bay City

    • Community Based Hospice Care Agency
    • Saginaw, MI
    • NPI 1104815752

    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

    CMS ownership
  • Hospice Advantage, LLC

    dba Compassus - Lansing

    • Community Based Hospice Care Agency
    • Lansing, MI
    • NPI 1548236557

    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

    CMS ownership
  • Hospice Advantage, LLC.
    • Community Based Hospice Care Agency
    • West Branch, MI
    • NPI 1255393864

    Ascension Towerbrook Healthcare Opportunities LP, Compassus Parent, Inc., FC Compassus LLC, Ti V Compassus Investment Aggregator, L.P., Towerbrook Investors V (Onshore) LP

    CMS ownership
  • Hospice Advantage, LLC.

    dba Compassus - Cass City

    • Community Based Hospice Care Agency
    • Cass City, MI
    • NPI 1891741237

    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

    CMS ownership
  • Reverence Home Health & Hospice, LLC

    dba Compassus Home Health

    • Home Health Agency
    • Portage, MI
    • NPI 1083670418

    Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Holdings LP, FC Compassus LLC, Towerbrook Investors V (Onshore) LP

    CMS ownership
  • Reverence Home Health & Hospice, LLC

    dba Compassus Home Health

    • Home Health Agency
    • Standish, MI
    • NPI 1104828797

    Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Holdings LP, FC Compassus LLC, Towerbrook Investors V (Onshore) LP

    CMS ownership
  • Reverence Home Health & Hospice, LLC

    dba Ascension at Home

    • Home Health Agency
    • Warren, MI
    • NPI 1295772184

    Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Holdings LP, FC Compassus LLC, Towerbrook Investors V (Onshore) LP

    CMS ownership
  • Reverence Home Health & Hospice, LLC

    dba Ascension at Home

    • Home Health Agency
    • Grand Blanc, MI
    • NPI 1710097977

    Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Holdings LP, FC Compassus LLC, Towerbrook Investors V (Onshore) LP

    CMS ownership
  • Aah of Tennessee I, LLC

    dba Ascension Saint Thomas at Home

    • Home Health Agency
    • Centerville, TN
    • NPI 1780462556

    Ascension Capital LLC, Compassus Holdings LP, Compassus Intermediate Inc, Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Towerbrook Investors V (Onshore) LP

    CMS ownership
  • Amenity Healthcare, LLC
    • Community Based Hospice Care Agency
    • Cedar Rapids, IA
    • NPI 1003813908

    Ascension Capital LLC, Ascension Health Alliance, Ascension Towerbrook Healthcare Opportunities LP, Compassus Intermediate Inc, Compassus Parent, Inc., FC Compassus LLC, Ti V ASC Compassus Investment Aggregator LP, Ti V Compassus Investment Aggrega

    CMS ownership
View all 162

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": "1962019141",
    "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": "5445 ALI DR DEPT 600",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395195",
            "telephone_number": "810-344-8396",
            "fax_number": "844-552-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSUS AAH OF MICHIGAN IV, 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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassus - Grand Blanc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.