Healthy Living at Home - Monterey LLC
Organization Active NPI Home Health Agency · Monterey, CA
NPI 1063801488 · NPPES record last updated Nov 20, 2023
Key facts
- NPI
- 1063801488
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- HEALTHY LIVING AT HOME - MONTEREY LLC
- Practice address
- 2100 Garden Rd Ste 1
Monterey, CA 93940-5366 - Phone
- (831) 706-2255
- Fax
- (831) 555-0264
- NPI assigned
- Jan 22, 2015
- Organization subpart
- No
Authorized official
- Name
- Steve Murphy
- Title
- SVP, Finance
- Phone
- (619) 757-2700
Facilities with the same owner 95
Affiliated clinicians 25
-
John D Bergren, MD
-
Patrick Chen, M.D.
-
Robert P. Chen, M.D.
-
Whay H Jones, MD
-
Phillip M King, MD
-
Rashmi Mathew, MD
-
Michael McGlue, M.D.
-
Matthew David Miller, M.D.
-
Christopher John O'Grady, M.D.
-
Yingwei Qi, M.D.
-
Shehab Saddy, MD
-
Pablo Nicholas Veliz, M.D.
-
Thanh N Vu, MD
-
Angela Wong, MD
-
Darlene A Zanker, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Mission Home Health of Monterey
- Overall star rating
- ★★★☆☆ 3 of 5
- Ownership
- Proprietary
- Certified
- Jul 8, 2016
- Medicare certification status
- Active
- Services
- Nursing, Physical therapy, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2115422 | Healthy Living at Home - Monterey, LLC | Certificate of waiver | Jul 6, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Home health agency certification: CCN 059726
- Legal name
- HEALTHY LIVING AT HOME - MONTEREY LLC
- Doing business as
- MISSION HOME HEALTH OF MONTEREY
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 8, 2016
- Last certification
- May 24, 2019
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Enrollment address
- 2100 Garden Rd
Ste G
Monterey, CA 93940-5393
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Mission Healthcare Intermediate Holdings LLC |
5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 82.8% |
| TVG Bolt Buyer, LLC |
5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 39.57% |
| Capricorn Healthcare & Special Opportunities II, LP |
5% Or Greater Indirect Ownership Interest | Jun 25, 2024 | 7.85% |
| MH Holdings Management Holdco LLC |
5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 17.77% |
| Vistria Fund III (Ft) LP |
5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 12.7% |
| HLH Monterey Holdings LLC |
5% Or Greater Direct Ownership Interest | Nov 1, 2021 | 82.8% |
| TVG MH Holdings III (Ft) LP |
5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 13.03% |
| TVG MH Intermediate Holdings LLC |
5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 82.8% |
| Cesar E Anaya-Velasquez |
5% Or Greater Direct Ownership Interest |
Aug 1, 2016 | 9.2% |
| TVG MH III (Ft) Blocker LLC |
5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 13.03% |
| HLH TVG Holdings LLC |
5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 82.8% |
| Steve Murphy |
Corporate Officer |
Jun 5, 2023 | |
| Operational/Managerial Control |
Jun 5, 2023 | ||
| TVG MH Holdings LLC |
5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 82.8% |
| Vistria Fund III LP |
5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 26.53% |
| James Allen Barnes |
5% Or Greater Direct Ownership Interest | Aug 1, 2016 | 8% |
| HLH Opco LLC |
5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 82.8% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150804005182 | CA | Part a Provider - Home Health Agency | 2567776537 | Practice locations: Monterey, CA |
National Provider Directory
Locations
2100 Garden Rd
Ste G
Monterey, CA 93940
Phone (831) 706-2255
2150 Garden Rd
Ste B2
Monterey, CA 93940
Phone (831) 706-2255
2150 Garden Rd
Ste I
Monterey, CA 93940
Phone (831) 706-2255
2100 Garden Rd
Ste 1
Monterey, CA 93940
Phone (831) 706-2255
2100 Garden Rd
Ste I
Monterey, CA 93940
Phone (831) 706-2255
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
2100 Garden Rd Ste 1
Monterey, CA 93940-5366
Mailing address
2365 Northside Dr Ste 200
San Diego, CA 92108-2720
Phone (888) 871-0766
Other providers in Monterey, CA
- Austin Haws
- Nilab Hayat
- Allison Hayden
- Georgina M Heal
- Health Diagnostics of California, LLC
- Heart to Heart Companion Caregiver LLC
- Heartland Hospice-Monterey
- Adelaide Heck
- John Hegazin
- Hegwood Medical Group Professional Corporation
All providers in Monterey, CA · Home Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.