Organization Active NPI

Mission Home Health of Irvine, LLC

  • Home Health Agency
  • Irvine, CA
National Provider Identifier
1013309707
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MISSION HOME HEALTH OF IRVINE, LLC
Practice address
2860 Michelle Ste 130
Irvine, CA 92606-1007
Phone
(949) 387-9950
Fax
(844) 831-2346
NPI assigned
Mar 4, 2015
Last updated
Apr 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steve Murphy
Title
Cfo
Phone
(619) 757-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

2860 Michelle Ste 130
Irvine, CA 92606-1007

Mailing address

2365 Northside Dr Ste 200
San Diego, CA 92108-2720
Phone (888) 871-0766

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170524002418 CA Part A Provider - Home Health Agency 1355618240 Practice locations: Irvine, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013309707. Details of each certification follow.

Home health agency certification: CCN 053149

Legal name
MISSION HOME HEALTH OF IRVINE, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 5, 2017
Last certification
Nov 13, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 19, 2015 in CA
Enrollment address
2860 Michelle Drive
Ste 130
Irvine, CA 92606-1007

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mission Home Health of Irvine, LLCCCN 053149 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Dec 5, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
05D2107996Mission Home Health of Irvine, Inc2860 Michelle Ste 130, Irvine, CA 92606Certificate of waiverJan 25, 2028

National Provider Directory

National Provider Directory

Locations

2860 Michelle
Ste 130
Irvine, CA 92606
Phone (949) 387-9950

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mission Healthcare Intermediate Holdings LLC Organization, San Diego, CA LLC, For-profit 5% Or Greater Indirect Ownership Interest Nov 25, 2020 100%
TVG Bolt Buyer, LLC Organization, Chicago, IL LLC, For-profit 5% Or Greater Indirect Ownership Interest Nov 25, 2020 47.79%
Mission Healthcare Services, LLC Organization, San Diego, CA LLC 5% Or Greater Direct Ownership Interest Mar 29, 2017 100%
Capricorn Healthcare & Special Opportunities II, LP Organization, Washington, DC 5% Or Greater Indirect Ownership Interest Sep 22, 2023 9.49%
MH Holdings Management Holdco LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 25, 2021 21.47%
Vistria Fund III (Ft) LP Organization, Chicago, IL For-profit 5% Or Greater Indirect Ownership Interest Nov 25, 2020 15.33%
TVG MH Holdings III (Ft) LP Organization, Chicago, IL For-profit 5% Or Greater Indirect Ownership Interest Nov 25, 2020 15.73%
TVG MH Intermediate Holdings LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 25, 2020 100%
TVG MH III (Ft) Blocker LLC Organization, Chicago, IL LLC, For-profit 5% Or Greater Indirect Ownership Interest Nov 25, 2020 15.73%
Steve Murphy Individual Corporate OfficerSVP, Finance Jun 5, 2023
Operational/Managerial ControlSVP, Finance Jun 5, 2023
TVG MH Holdings LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 25, 2020 100%
Vistria Fund III LP Organization, Chicago, IL For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 25, 2020 32.05%

Facilities with the same owner 95

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

View all 95

Practitioners & affiliated clinicians

Affiliated clinicians 58

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 58

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1013309707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 NORTHSIDE DR STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921082720",
            "telephone_number": "888-871-0766",
            "fax_number": "866-551-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE STE 130",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061007",
            "telephone_number": "949-387-9950",
            "fax_number": "844-831-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HOME HEALTH OF IRVINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "619-757-2700"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.