Organization Active NPI

Life Choice Hospice of Connecticut LLC

  • Community Based Hospice Care Agency
  • Milford, CT
National Provider Identifier
1982955837
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LIFE CHOICE HOSPICE OF CONNECTICUT LLC
Practice address
612 Wheelers Farms Rd Ste 103
Milford, CT 06461-1673
Phone
(203) 301-0489
Fax
(203) 301-0632
NPI assigned
Oct 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 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

612 Wheelers Farms Rd Ste 103
Milford, CT 06461-1673

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130204000384 CT Part A Provider - Hospice 9638323488 Practice locations: Milford, CT; Rocky Hill, CT

Hospice certification: CCN 071536

Legal name
LIFE CHOICE HOSPICE OF CONNECTICUT LLC
Doing business as
COMPASSUS - GREATER CONNECTICUT
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 15, 2006
Last certification
Aug 25, 2018
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
May 19, 2011 in DE
Enrollment address
100 Corporate PL
Ste 205
Rocky Hill, CT 06067-1803

Care Compare: Hospice

Medicare Care Compare
Listed as
Compassus - Greater ConnecticutCCN 071536
Ownership
For-Profit
Certified
Sep 15, 2006
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

200 Corporate Pl
Ste 202
Rocky Hill, CT 06067
Phone (860) 856-5994

Ownership & related parties

All disclosed owners & managing parties 22

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 Dec 22, 2014 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 OfficerSVP, Chief Legal Officer Dec 1, 2017
Operational/Managerial ControlSVP, Chief Legal Officer Dec 1, 2017
Compassus Holdings, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
National Hospice Holdings Investors, LLC Organization, Dresher, PA LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 22, 2014 100%
David F Grams Individual Corporate OfficerCeo Jan 31, 2022
Operational/Managerial ControlCeo Jan 31, 2022
National Hospice Holdings of Connecticut LLC Organization, Dresher, PA For-profit 5% Or Greater Direct Ownership Interest Jul 31, 2013 100%
Ascension Towerbrook Healthcare Opportunities LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.5%
Amanda Truman Individual W-2 Managing EmployeeDirector of Clinical Services Apr 17, 2023
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%
Community Hospices of America, LLC. Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 22, 2014 100%
Operational/Managerial Control Jun 1, 2017 100%
Ti V Compassus Investment Aggregator, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.5%
Kathleen L Sims Individual W-2 Managing EmployeeArea Executive Clinical Operator Jun 21, 2021
Towerbrook Investors V (Onshore) LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 29.75%
FC Compassus Sub LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Indirect Ownership Interest Dec 22, 2014 100%
Towerbrook Investors V (892), L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 14.14%
FCT Hospice, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 31, 2013 100%
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%

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

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1982955837",
    "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",
            "fax_number": "615-373-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 WHEELERS FARMS RD STE 103",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064611673",
            "telephone_number": "203-301-0489",
            "fax_number": "203-301-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHOICE HOSPICE OF CONNECTICUT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "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": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.