Compass at Home-a Healthy Living Network Company, LLC
Organization Active NPI Home Health Agency · Grover Beach, CA
NPI 1083050280 · NPPES record last updated Jul 25, 2023
Key facts
- NPI
- 1083050280
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- COMPASS AT HOME-A HEALTHY LIVING NETWORK COMPANY, LLC
- Practice address
- 200 S 13TH St Ste 204&205
Grover Beach, CA 93433-3302 - Phone
- (805) 335-8441
- Fax
- (805) 980-5705
- NPI assigned
- May 14, 2013
- Organization subpart
- No
Authorized official
- Name
- Stephen Murphy
- Title
- SVP, Finance
- Phone
- (888) 871-0766
Facilities with the same owner 94
Practitioners 1
-
Melissa Arseneau, MA, CCC-SLP
Affiliated clinicians 27
-
Craig Michael Chanin, M.D.
-
Eric Chau, D.O.
-
Suvarna Choudhari, M.D.
-
Steven Jon Clark, DPM
-
Ben Cooke, MD
-
Karen Ann Fong, MD
-
Kevin C Forsythe, MD
-
Albert W Hawkins, MD
-
Pankaj Kumar Karan, MD INTERNAL MEDICINE
-
Justin Keadle, PA-C
-
Eric G. Levy, M.D.
-
Melvin A Lopez, MD
-
Duc Van Nguyen, M.D.
-
Robert Wayne Okerblom, M.D.
-
Rashiklal Patel, MD
-
Matthew Joseph Sabatino, M.D.
-
Patrica Anne Schechter, D.O.
-
Nathan Singer, M.D.
-
Duong Tran, N.P.
Medicare Care Compare: Home health agency
- Listed as
- Mission Home Health of Central Coast
- Overall star rating
- ★★★☆☆ 3 of 5
- Ownership
- Proprietary
- Certified
- Mar 27, 2014
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2066973 | Compass at Home - | Certificate of waiver | Oct 6, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Home health agency certification: CCN 059589
- Legal name
- COMPASS AT HOME-A HEALTHY LIVING NETWORK COMPANY, LLC
- Doing business as
- MISSION HOME HEALTH OF CENTRAL COAST
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 27, 2014
- Last certification
- Dec 20, 2019
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Incorporated
- Jan 3, 2019 in CA
- Enrollment address
- 200 S 13TH St
Ste 204&205
Grover Beach, CA 93433-2263
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Mission Healthcare Intermediate Holdings LLC |
5% Or Greater Indirect Ownership Interest | Sep 30, 2021 | 95% |
| TVG Bolt Buyer, LLC |
5% Or Greater Indirect Ownership Interest | Sep 30, 2021 | 43.44% |
| MH Holdings Management Holdco LLC |
5% Or Greater Indirect Ownership Interest | Sep 30, 2021 | 20.39% |
| Vistria Fund III (Ft) LP |
5% Or Greater Indirect Ownership Interest | Sep 30, 2021 | 13.94% |
| Capricorn Healthcare & Special Opportunities II, LP |
5% Or Greater Indirect Ownership Interest | Jun 25, 2024 | 9.01% |
| TVG MH Holdings III (Ft) LP |
5% Or Greater Indirect Ownership Interest | Sep 30, 2021 | 14.3% |
| TVG MH Intermediate Holdings LLC |
5% Or Greater Indirect Ownership Interest | Sep 30, 2021 | 95% |
| HLH CL Holdings, LLC |
5% Or Greater Indirect Ownership Interest | Aug 1, 2018 | 60% |
| HLH TVG Holdings, LLC |
5% Or Greater Indirect Ownership Interest | Sep 30, 2021 | 95% |
| TVG MH III (Ft) Blocker LLC |
5% Or Greater Indirect Ownership Interest | Sep 30, 2021 | 14.3% |
| Steve Murphy |
Corporate Officer |
Jun 5, 2023 | |
| Operational/Managerial Control |
Jun 5, 2023 | ||
| HLH Coastal Living Holdings LLC |
5% Or Greater Direct Ownership Interest | Nov 5, 2016 | 100% |
| TVG MH Holdings LLC |
5% Or Greater Indirect Ownership Interest | Sep 30, 2021 | 95% |
| Vistria Fund III LP |
5% Or Greater Indirect Ownership Interest | Sep 30, 2021 | 29.13% |
| HLH Opco LLC |
5% Or Greater Indirect Ownership Interest | Sep 30, 2021 | 55.5% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130702000527 | CA | Part a Provider - Home Health Agency | 1355581968 | Practice locations: Grover Beach, CA |
National Provider Directory
Locations
2150 Main St
Cambria, CA 93428
Phone (805) 395-3277
2150 Main St
Ste 8
Cambria, CA 93428
Phone (805) 927-1212
200 S 13th St
Ste 212
Grover Beach, CA 93433
Phone (805) 335-8441
200 S 13th St
Ste 204
Grover Beach, CA 93433
Phone (805) 927-1212
200 S 13th St
Ste 206
Grover Beach, CA 93433
Phone (805) 927-1212
200 S 13th St
Ste 211
Grover Beach, CA 93433
Phone (805) 335-8441
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
200 S 13TH St Ste 204&205
Grover Beach, CA 93433-3302
Mailing address
2365 Northside Dr Ste 200
San Diego, CA 92108-2720
Phone (888) 871-0766
Other names
- Mission Home Health of Central Coast
Other providers in Grover Beach, CA
- Co. of San Luis Obispo
- Coast Pain and Spine Institute
- Coastal Living Home Health LLC
- Michael Scott Colbert
- Community Health Centers of the Central Coast Inc
- Compass Health Inc
- Marcus Conaway
- Connect Hearing, Inc.
- Kylie A Conner
- Christine May Cook
All providers in Grover Beach, 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 Jul 25, 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.