Organization Active NPI

Life Choice Hospice of Alabama LLC

  • Community Based Hospice Care Agency
  • Southside, AL
National Provider Identifier
1982955043
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LIFE CHOICE HOSPICE OF ALABAMA LLC
Practice address
1735 Highway 77
Southside, AL 35907
Phone
(256) 782-3560
Fax
(256) 782-3590
NPI assigned
Sep 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

1735 Highway 77
Southside, AL 35907

Mailing address

10 Cadillac Dr
Suite 400
Brentwood, TN 37027-5078
Phone (615) 377-7022

Other names 1

  • Compassus - Gadsen Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130208000210 AL Part A Provider - Hospice 6608020151 Practice locations: Southside, AL; Roanoke, AL

Hospice certification: CCN 011579

Legal name
LIFE CHOICE HOSPICE OF ALABAMA, LLC
Doing business as
COMPASSUS - GADSDEN
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 16, 2001
Last certification
Sep 14, 2018
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Aug 10, 2012 in DE
Enrollment address
1735 Highway 77
Southside, AL 35907-0169

Care Compare: Hospice

Medicare Care Compare
Listed as
Compassus-GadsdenCCN 011579
Ownership
For-Profit
Certified
Feb 16, 2001
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
01D2045696Compassus-Gadsden1735 Highway 77, Southside, AL 35907Certificate of waiverAug 16, 2026

National Provider Directory

National Provider Directory

Locations

320 Branscomb Dr SW
Ste D
Jacksonville, AL 36265
Phone (256) 235-2999

4455 Highway 431
Roanoke, AL 36274

4455 Highway 431
Ste 3
Roanoke, AL 36274
Phone (334) 863-4984

1735 Highway 77
Southside, AL 35907
Phone (256) 782-3560

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 Dec 31, 2019 100%
FC Compassus LLC Organization, Brentwood, TN For-profit 5% Or Greater Indirect Ownership Interest Dec 22, 2014 100%
National Hospice Holdings of Alabama, LLC Organization, Dresher, PA For-profit 5% Or Greater Direct Ownership Interest Jul 31, 2013 100%
Russell D Peterson Individual Contracted Managing EmployeeMD; Oct 1, 2016
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 OfficerManager Apr 1, 2015
Operational/Managerial Control Mar 26, 2015
Other Mar 26, 2015
Crysta C Robertson Individual W-2 Managing EmployeeAd; Jun 9, 2022
Towerbrook Investors V 892 LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 14.14%
David F Grams Individual Corporate OfficerCeo Jan 31, 2022
Operational/Managerial ControlCeo Jan 31, 2022
Ascension Towerbrook Healthcare Opportunities LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.5%
Compassus Holdings LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
Laura a Templeton Individual Corporate OfficerEvp, Chief Operating Officer Apr 12, 2023
Ti V Compassus Investment Aggregator, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.5%
Towerbrook Investors V (Onshore) LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 29.75%
Ascension Capital LLC Organization, Clayton, MO LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.48%
FC Compassus Sub LLC Organization, Brentwood, TN For-profit 5% Or Greater Indirect Ownership Interest Dec 22, 2014 100%
Ascension Health Alliance Organization, Clayton, MO Non-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.48%
Compassus Intermediate, Inc. Organization, New York, NY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
Ti V ASC Compassus Investment Aggregator LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 99%

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 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": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530230400000",
    "number": "1982955043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CADILLAC DR",
            "address_2": "SUITE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275078",
            "telephone_number": "615-377-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 HIGHWAY 77",
            "city": "SOUTHSIDE",
            "state": "AL",
            "postal_code": "35907",
            "telephone_number": "256-782-3560",
            "fax_number": "256-782-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHOICE HOSPICE OF ALABAMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2018-06-29",
        "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 - Gadsen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southside, AL

Sources for this page

Verify at the official NPI Registry.