Organization Active NPI

Life Choice Hospice of New Hampshire II, LLC

  • Community Based Hospice Care Agency
  • Bedford, NH
National Provider Identifier
1982958583
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LIFE CHOICE HOSPICE OF NEW HAMPSHIRE II, LLC
Practice address
1 Bedford Farms Dr Ste 2D
Bedford, NH 03110-6524
Phone
(603) 606-7974
Fax
(603) 606-7988
NPI assigned
Nov 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

1 Bedford Farms Dr Ste 2D
Bedford, NH 03110-6524

Mailing address

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

Other names 1

  • Compassus - Greater Manchester Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130204000353 NH Part A Provider - Hospice 6204080054 Practice locations: Bedford, NH

Hospice certification: CCN 301528

Legal name
LIFE CHOICE HOSPICE OF NEW HAMPSHIRE II LLC
Doing business as
COMPASSUS - GREATER MANCHESTER
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 21, 2007
Last certification
Nov 22, 2019
Ownership / control type
Other
Organization structure
LLCProprietary
Incorporated
Aug 17, 2012 in DE
Enrollment address
1 Bedford Farms Dr
Bedford, NH 03110-6524

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Compassus - Greater ManchesterCCN 301528
Ownership
Other
Certified
Sep 21, 2007
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
30D2010347Compassus - Greater Manchester1 Bedford Farms, 2ND FL, Bedford, NH 03110Certificate of waiverJul 26, 2028

National Provider Directory

National Provider Directory
Tax ID family
Compassus - Greater Manchester2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

170 S River Rd
Ste 2
Bedford, NH 03110
Phone (603) 606-7974

1 Bedford Farms Dr
Ste 2D
Bedford, NH 03110
Phone (603) 606-7974

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 Dec 22, 2014 100%
Russell G Adkins Individual Corporate OfficerManager Apr 1, 2015
Operational/Managerial Control Apr 1, 2015
Other Apr 1, 2015
Compassus Holdings, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
National Hospice Holdings of New Hampshire LLC Organization, Dresher, PA For-profit 5% Or Greater Direct Ownership Interest Jul 31, 2013 100%
Ti V ASC Compassus Investment Aggregator, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 99%
Ascension Towerbrook Healthcare Opportunities LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.5%
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
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 Other Feb 28, 2020
Lauren K Beckman Individual W-2 Managing EmployeeAd; May 16, 2024
Ti V Compassus Investment Aggregator, L.P. Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 49.5%
Washington State Investment Board Organization, Olympia, WA For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 5.24%
Jatinder Aujla Individual Contracted Managing EmployeeMD; Sep 1, 2022
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, Brentwood, TN 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%
Compassus Intermediate, Inc. Organization, New York, NY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Dec 31, 2019 100%
Otillie K Dean Individual W-2 Managing EmployeeDirector of Clinical Services Oct 1, 2021
Michael Asselta Individual Corporate OfficerCeo May 2, 2024
Operational/Managerial ControlCeo May 2, 2024

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.

View all 162

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 7

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": "1351987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1982958583",
    "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": "1 BEDFORD FARMS DR STE 2D",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106524",
            "telephone_number": "603-606-7974",
            "fax_number": "603-606-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHOICE HOSPICE OF NEW HAMPSHIRE II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-04",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "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 - Greater Manchester",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Compassus - Greater Manchester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.