NPIMap

Organization Active NPI

Mission Home Health of San Diego LLC

  • Home Health Agency
  • San Diego, CA
National Provider Identifier
1063726628
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
080000548 Issued in CA
Legal business name
MISSION HOME HEALTH OF SAN DIEGO LLC
Practice address
2365 Northside Dr Ste 100
San Diego, CA 92108-2710
Phone
(619) 757-2700
Fax
(760) 871-0713
NPI assigned
Aug 5, 2010
Last updated
Nov 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Mr. Stephen Murphy
Title
Senior Vice President - Finance
Phone
(888) 871-0766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 080000548 CA Primary

Addresses

Primary practice location

2365 Northside Dr Ste 100
San Diego, CA 92108-2710

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
O20101011000819 CA Part A Provider - Home Health Agency 2567654460 Practice locations: Murrieta, CA; San Diego, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063726628. Details of each certification follow.

Home health agency certification: CCN 557711

Legal name
MISSION HOME HEALTH OF SAN DIEGO LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 31, 1996
Last certification
Dec 14, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 30, 2009 in CA
Enrollment address
2365 Northside Dr
Ste 100
San Diego, CA 92108-2710

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mission Home Health of San Diego LLCCCN 557711 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
May 31, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

25186 Hancock Ave
Ste 320
Murrieta, CA 92562
Phone (951) 461-2800

71703 Highway 111
Ste 1D
Rancho Mirage, CA 92270
Phone (760) 501-1572

71780 San Jacinto Dr
Ste A2
Rancho Mirage, CA 92270
Phone (760) 340-3248

2365 Northside Dr
Ste 100
San Diego, CA 92108
Phone (619) 757-2700

2375 Northside Dr
Ste 150
San Diego, CA 92108
Phone (619) 387-6315

2385 Northside Dr
Ste 200
San Diego, CA 92108
Phone (619) 757-2700

215 S Pacific St
Ste 109
San Marcos, CA 92078
Phone (760) 759-2695

334 Via Vera Cruz
Ste 150
San Marcos, CA 92078
Phone (760) 759-2695

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, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 4, 2019 100%
TVG Bolt Buyer, LLC Organization, Chicago, IL LLC, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2022 47.79%
Mission Healthcare Services, LLC Organization, San Diego, CA LLC, For-profit 5% Or Greater Direct Ownership Interest Mar 29, 2017 100%
Capricorn Healthcare & Special Opportunities II, LP Organization, San Diego, CA 5% Or Greater Indirect Ownership Interest Jun 25, 2024 9.49%
MH Holdings Management Holdco LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2022 21.47%
Vistria Fund III (Ft) LP Organization, Chicago, IL For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2022 15.33%
TVG MH Holdings III (Ft) LP Organization, Chicago, IL Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2022 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 Aug 1, 2022 15.73%
Steve Murphy Individual Corporate OfficerSenior Vice President - Finance Jun 5, 2023
W-2 Managing Employee 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 5% Or Greater Indirect Ownership Interest Aug 1, 2022 32.05%

Facilities with the same owner 95

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

  • Compass at Home-a Healthy Living Network Company, LLC

    dba Mission Home Health of Central Coast

    • Home Health Agency
    • Grover Beach, CA
    • NPI 1083050280

    MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH III (Ft) Blocker LLC, TVG MH Intermediate Holdings LLC, Vistria Fund III (Ft) LP, Vistri

    CMS ownership
  • Healthy Living at Home - Modesto LLC
    • Home Health Agency
    • Modesto, CA
    • NPI 1376959775

    Capricorn Healthcare & Special Opportunities II, LP, MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH III (Ft) Blocker LLC, TVG MH Interme

    CMS ownership
  • Healthy Living at Home - Monterey LLC
    • Home Health Agency
    • Monterey, CA
    • NPI 1063801488

    Capricorn Healthcare & Special Opportunities II, LP, MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH III (Ft) Blocker LLC, TVG MH Interme

    CMS ownership
  • Healthy Living at Home - Palm Desert LLC

    dba Mission Home Health Palm Desert

    • Home Health Agency
    • Palm Desert, CA
    • NPI 1265848683

    Capricorn Healthcare & Special Opportunities II, LP, MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH III (Ft) Blocker LLC, TVG MH Interme

    CMS ownership
  • Healthy Living at Home - Redding LLC
    • Home Health Agency
    • Redding, CA
    • NPI 1063853398

    Capricorn Healthcare & Special Opportunities II, LP, MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH III (Ft) Blocker LLC, TVG MH Interme

    CMS ownership
  • Healthy Living at Home East Bay LLC
    • Home Health Agency
    • Concord, CA
    • NPI 1538411632

    Capricorn Healthcare & Special Opportunities II, LP, MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH III (Ft) Blocker LLC, TVG MH Interme

    CMS ownership
  • Healthy Living at Home LLC

    dba Mission Home Health of Sacramento

    • Home Health Agency
    • Sacramento, CA
    • NPI 1568760718

    Capricorn Healthcare & Special Opportunities II, LP, MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH III (Ft) Blocker LLC, TVG MH Interme

    CMS ownership
  • Healthy Living at Home-San Diego LLC

    dba Mission Home Health of North County San Diego

    • Home Health Agency
    • San Marcos, CA
    • NPI 1396011870

    Capricorn Healthcare & Special Opportunities II, LP, MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH III (Ft) Blocker LLC, TVG MH Interme

    CMS ownership
  • Mission Home Health of Irvine, LLC
    • Home Health Agency
    • Irvine, CA
    • NPI 1013309707

    Capricorn Healthcare & Special Opportunities II, LP, MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, Mission Healthcare Services, LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH II

    CMS ownership
  • Mission Home Health of Ontario LLC
    • Home Health Agency
    • Ontario, CA
    • NPI 1528450475

    Capricorn Healthcare & Special Opportunities II, LP, MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, Mission Healthcare Services, LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH II

    CMS ownership
  • Mission Home Health of Ventura LLC
    • Home Health Agency
    • Oxnard, CA
    • NPI 1871965970

    Capricorn Healthcare & Special Opportunities II, LP, MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, Mission Healthcare Services, LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH II

    CMS ownership
  • Mission Hospice of Ventura LLC
    • Community Based Hospice Care Agency
    • Oxnard, CA
    • NPI 1912568932

    Capricorn Healthcare & Special Opportunities II, LP, MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, Mission Healthcare Services, LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH II

    CMS ownership
View all 95

Practitioners & affiliated clinicians

Affiliated clinicians 143

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

View all 143

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1063726628",
    "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": "2365 NORTHSIDE DR STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921082710",
            "telephone_number": "619-757-2700",
            "fax_number": "760-871-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HOME HEALTH OF SAN DIEGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT - FINANCE",
        "authorized_official_telephone_number": "888-871-0766",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "080000548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.