Organization Active NPI

Healthy Living at Home - Redding LLC

  • Home Health Agency
  • Redding, CA
National Provider Identifier
1063853398
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALTHY LIVING AT HOME - REDDING LLC
Practice address
2150 Churn Creek Rd Ste 100
Redding, CA 96002-0727
Phone
(530) 605-3731
Fax
(530) 232-2368
NPI assigned
Jul 15, 2013
Last updated
Jul 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Authorized official

Name
Stephen Murphy
Title
SVP, Finance
Phone
(888) 871-0766

Specialties & licenses 1

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

Addresses

Primary practice location

2150 Churn Creek Rd Ste 100
Redding, CA 96002-0727

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
O20130802000280 CA Part A Provider - Home Health Agency 9638310675 Practice locations: Redding, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063853398. Details of each certification follow.

Home health agency certification: CCN 059579

Legal name
HEALTHY LIVING AT HOME - REDDING LLC
Doing business as
MISSION HOME HEALTH OF REDDING
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 21, 2014
Last certification
Mar 21, 2014
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jan 4, 2013 in CA
Enrollment address
2150 Churn Creek Rd
Ste 100
Redding, CA 96002-0727

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mission Home Health of ReddingCCN 059579 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Mar 21, 2014
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
05D2071411Healthy Living at Home - Redding, LLC2150 Churn Creek Rd Ste 100, Redding, CA 96002Certificate of waiverJul 6, 2027

National Provider Directory

National Provider Directory

Locations

2150 Churn Creek Rd
Ste 100
Redding, CA 96002
Phone (530) 605-3731

2155 Larkspur Ln
Redding, CA 96002
Phone (855) 422-6157

2155 Larkspur Ln
Ste B
Redding, CA 96002
Phone (855) 472-3892

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 1, 2021 100%
TVG Bolt Buyer, LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 47.79%
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 1, 2021 21.47%
Vistria Fund III (Ft) LP Organization, Chicago, IL Holding company 5% Or Greater Indirect Ownership Interest Nov 1, 2021 15.33%
TVG MH Holdings III (Ft) LP Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 15.73%
TVG MH Intermediate Holdings LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
HLH TVG Holdings, LLC Organization, San Diego, CA LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
HLH Redding Holdings LLC Organization, San Diego, CA LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Nov 1, 2021 100%
TVG MH III (Ft) Blocker LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 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 1, 2021 100%
Vistria Fund III LP Organization, Chicago, IL Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 32.05%
HLH Opco LLC Organization, San Diego, CA LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%

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 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1063853398",
    "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": "2150 CHURN CREEK RD STE 100",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020727",
            "telephone_number": "530-605-3731",
            "fax_number": "530-232-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIVING AT HOME - REDDING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "SVP, FINANCE",
        "authorized_official_telephone_number": "888-871-0766"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.