NPIMap

Organization Active NPI

Compass at Home-a Healthy Living Network Company, LLC

Doing business as Mission Home Health of Central Coast

  • Home Health Agency
  • Grover Beach, CA
National Provider Identifier
1083050280
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMPASS AT HOME-A HEALTHY LIVING NETWORK COMPANY, LLC
Doing business as
Mission Home Health of Central Coast
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
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 Primary

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 1

  • Mission Home Health of Central Coast Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130702000527 CA Part A Provider - Home Health Agency 1355581968 Practice locations: Grover Beach, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083050280. Details of each certification follow.

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
LLCProprietary
Incorporated
Jan 3, 2019 in CA
Enrollment address
200 S 13TH St
Ste 204&205
Grover Beach, CA 93433-2263
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mission Home Health of Central CoastCCN 059589 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Mar 27, 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
05D2066973Compass at Home -200 S 13TH St, Ste 204, Grover Beach, CA 93433Certificate of waiverOct 6, 2027

National Provider Directory

National Provider Directory

Locations

2150 Main St
Ste 8
Cambria, CA 93428
Phone (805) 927-1212

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

200 S 13th St
Ste 212
Grover Beach, CA 93433
Phone (805) 335-8441

Ownership & related parties

All disclosed owners & managing parties 15

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 Sep 30, 2021 95%
TVG Bolt Buyer, LLC Organization, Chicago, IL LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 30, 2021 43.44%
MH Holdings Management Holdco LLC Organization, Chicago, IL LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 30, 2021 20.39%
Vistria Fund III (Ft) LP Organization, Chicago, IL Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 30, 2021 13.94%
Capricorn Healthcare & Special Opportunities II, LP Organization, San Diego, CA Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 25, 2024 9.01%
TVG MH Holdings III (Ft) LP Organization, Chicago, IL Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 30, 2021 14.3%
TVG MH Intermediate Holdings LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 30, 2021 95%
HLH CL Holdings, LLC Organization, San Diego, CA LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2018 60%
HLH TVG Holdings, LLC Organization, San Diego, CA LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 30, 2021 95%
TVG MH III (Ft) Blocker LLC Organization, Chicago, IL LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 30, 2021 14.3%
Steve Murphy Individual Corporate OfficerSVP, Finance Jun 5, 2023
Operational/Managerial ControlSVP, Finance Jun 5, 2023
HLH Coastal Living Holdings LLC Organization, San Diego, CA LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Nov 5, 2016 100%
TVG MH Holdings LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 30, 2021 95%
Vistria Fund III LP Organization, Chicago, IL Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 30, 2021 29.13%
HLH Opco LLC Organization, San Diego, CA LLC, For-profit 5% Or Greater Indirect Ownership Interest Sep 30, 2021 55.5%

Facilities with the same owner 94

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

  • Healthy Living at Home - Modesto LLC
    • Home Health Agency
    • Modesto, CA
    • NPI 1376959775

    HLH Opco LLC, HLH TVG Holdings, LLC, MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH III (Ft) Blocker LLC, TVG MH Intermediate Holdings

    CMS ownership
  • Healthy Living at Home - Monterey LLC
    • Home Health Agency
    • Monterey, CA
    • NPI 1063801488

    HLH Opco LLC, MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH III (Ft) Blocker LLC, TVG MH Intermediate Holdings LLC, Vistria Fund III (

    CMS ownership
  • Healthy Living at Home - Palm Desert LLC

    dba Mission Home Health Palm Desert

    • Home Health Agency
    • Palm Desert, CA
    • NPI 1265848683

    HLH Opco LLC, HLH TVG Holdings, LLC, MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH III (Ft) Blocker LLC, TVG MH Intermediate Holdings

    CMS ownership
  • Healthy Living at Home - Redding LLC
    • Home Health Agency
    • Redding, CA
    • NPI 1063853398

    HLH Opco LLC, HLH TVG Holdings, LLC, MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH III (Ft) Blocker LLC, TVG MH Intermediate Holdings

    CMS ownership
  • Healthy Living at Home East Bay LLC
    • Home Health Agency
    • Concord, CA
    • NPI 1538411632

    HLH Opco LLC, MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH III (Ft) Blocker LLC, TVG MH Intermediate Holdings LLC, Vistria Fund III (

    CMS ownership
  • Healthy Living at Home LLC

    dba Mission Home Health of Sacramento

    • Home Health Agency
    • Sacramento, CA
    • NPI 1568760718

    HLH Opco LLC, HLH TVG Holdings, LLC, MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH III (Ft) Blocker LLC, TVG MH Intermediate Holdings

    CMS ownership
  • Healthy Living at Home-San Diego LLC

    dba Mission Home Health of North County San Diego

    • Home Health Agency
    • San Marcos, CA
    • NPI 1396011870

    HLH Opco LLC, HLH TVG Holdings, LLC, MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH III (Ft) Blocker LLC, TVG MH Intermediate Holdings

    CMS ownership
  • Mission Home Health of Irvine, LLC
    • Home Health Agency
    • Irvine, CA
    • NPI 1013309707

    MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH III (Ft) Blocker LLC, TVG MH Intermediate Holdings LLC, Vistria Fund III (Ft) LP, Vistri

    CMS ownership
  • Mission Home Health of Ontario LLC
    • Home Health Agency
    • Ontario, CA
    • NPI 1528450475

    MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH III (Ft) Blocker LLC, TVG MH Intermediate Holdings LLC, Vistria Fund III (Ft) LP, Vistri

    CMS ownership
  • Mission Home Health of San Diego LLC
    • Home Health Agency
    • San Diego, CA
    • NPI 1063726628

    MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH III (Ft) Blocker LLC, TVG MH Intermediate Holdings LLC, Vistria Fund III (Ft) LP, Vistri

    CMS ownership
  • Mission Home Health of Ventura LLC
    • Home Health Agency
    • Oxnard, CA
    • NPI 1871965970

    MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH III (Ft) Blocker LLC, TVG MH Intermediate Holdings LLC, Vistria Fund III (Ft) LP, Vistri

    CMS ownership
  • Mission Hospice of Ventura LLC
    • Community Based Hospice Care Agency
    • Oxnard, CA
    • NPI 1912568932

    MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH III (Ft) Blocker LLC, TVG MH Intermediate Holdings LLC, Vistria Fund III (Ft) LP, Vistri

    CMS ownership
View all 94

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1083050280",
    "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": "200 S 13TH ST STE 204&205",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934333302",
            "telephone_number": "805-335-8441",
            "fax_number": "805-980-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS AT HOME-A HEALTHY LIVING NETWORK COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Home Health of Central Coast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grover Beach, CA

Sources for this page

Verify at the official NPI Registry.