Organization Active NPI

Mission Hospice Services of Rancho Mirage, LLC

  • Community Based Hospice Care Agency
  • Rancho Mirage, CA
National Provider Identifier
1063804763
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MISSION HOSPICE SERVICES OF RANCHO MIRAGE, LLC
Practice address
71703 Highway 111 Ste 1C
Rancho Mirage, CA 92270-4478
Phone
(760) 610-5425
Fax
(760) 636-4488
NPI assigned
Mar 4, 2015
Last updated
Apr 2, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MISSION HEALTHCARE SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 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
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

71703 Highway 111 Ste 1C
Rancho Mirage, CA 92270-4478

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
O20181029000124 CA Part A Provider - Hospice 9537412275 Practice locations: Rancho Mirage, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063804763. Details of each certification follow.

Hospice certification: CCN A01615

Legal name
MISSION HOSPICE SERVICES OF RANCHO MIRAGE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 6, 2019
Last certification
May 6, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Feb 19, 2015 in CA
Enrollment address
71703 Highway 111
Ste 1C
Rancho Mirage, CA 92270-4478

Care Compare: Hospice

Medicare Care Compare
Listed as
Mission Hospice Services of Rancho Mirage, LLCCCN A01615 · All quality measures
Ownership
For-Profit
Certified
May 6, 2019
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

71703 Highway 111
Ste 1C
Rancho Mirage, CA 92270
Phone (760) 610-5425

71847 Highway 111
Ste A
Rancho Mirage, CA 92270
Phone (760) 610-5425

Ownership & related parties

All disclosed owners & managing parties 14

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 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 Corporation 5% Or Greater Direct Ownership Interest Feb 19, 2015 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 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 5% Or Greater Indirect Ownership Interest Nov 25, 2020 100%
Clifton Cole Individual Contracted Managing EmployeeMD; Aug 9, 2021
TVG MH III (Ft) Blocker LLC Organization, Chicago, IL LLC, For-profit 5% Or Greater Indirect Ownership Interest Nov 25, 2020 15.73%
Deborah Rolf Individual W-2 Managing EmployeeAd; Oct 1, 2021
Steve Murphy Individual Corporate OfficerSVP, Finance Jun 5, 2023
Operational/Managerial ControlSVP, Finance Jun 5, 2023
TVG MH Holdings LLC Organization, Chicago, IL LLC 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 Nov 25, 2020 32.05%

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 95

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

View all 95

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1063804763",
    "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": "71703 HIGHWAY 111 STE 1C",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704478",
            "telephone_number": "760-610-5425",
            "fax_number": "760-636-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HOSPICE SERVICES OF RANCHO MIRAGE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSION HEALTHCARE SERVICES, INC.",
        "enumeration_date": "2015-03-04",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.