Organization Active NPI

Healthy Living at Home - Monterey LLC

  • Home Health Agency
  • Monterey, CA
National Provider Identifier
1063801488
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 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
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
Steve Murphy
Title
SVP, Finance
Phone
(619) 757-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150804005182 CA Part A Provider - Home Health Agency 2567776537 Practice locations: Monterey, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063801488. Details of each certification follow.

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
LLCProprietary
Enrollment address
2100 Garden Rd
Ste G
Monterey, CA 93940-5393

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mission Home Health of MontereyCCN 059726 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jul 8, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy, 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
05D2115422Healthy Living at Home - Monterey, LLC2100 Garden Rd, Ste I, Monterey, CA 93940Certificate of waiverJul 6, 2028

National Provider Directory

National Provider Directory

Locations

2100 Garden Rd
Ste 1
Monterey, CA 93940
Phone (831) 706-2255

2100 Garden Rd
Ste G
Monterey, CA 93940
Phone (831) 706-2255

2100 Garden Rd
Ste I
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

Ownership & related parties

All disclosed owners & managing parties 16

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 Nov 1, 2021 82.8%
TVG Bolt Buyer, LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 39.57%
Capricorn Healthcare & Special Opportunities II, LP Organization, San Diego, CA 5% Or Greater Indirect Ownership Interest Jun 25, 2024 7.85%
MH Holdings Management Holdco LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 17.77%
Vistria Fund III (Ft) LP Organization, Chicago, IL Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 12.7%
HLH Monterey Holdings LLC Organization, San Diego, CA LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Nov 1, 2021 82.8%
TVG MH Holdings III (Ft) LP Organization, Chicago, IL Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 13.03%
TVG MH Intermediate Holdings LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 82.8%
Cesar E Anaya-Velasquez Individual 5% Or Greater Direct Ownership InterestAdo Aug 1, 2016 9.2%
TVG MH III (Ft) Blocker LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 13.03%
HLH TVG Holdings LLC Organization, San Diego, CA LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 82.8%
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 1, 2021 82.8%
Vistria Fund III LP Organization, Chicago, IL For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 26.53%
James Allen Barnes Individual 5% Or Greater Direct Ownership Interest Aug 1, 2016 8%
HLH Opco LLC Organization, San Diego, CA LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 82.8%

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 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1063801488",
    "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": "2100 GARDEN RD STE 1",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405366",
            "telephone_number": "831-706-2255",
            "fax_number": "831-555-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIVING AT HOME - MONTEREY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SVP, FINANCE",
        "authorized_official_telephone_number": "619-757-2700"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.