NPIMap

Organization Active NPI

Mission Hospice Services of San Diego, LLC

  • Community Based Hospice Care Agency
  • San Diego, CA
National Provider Identifier
1245521269
Registry record updated Apr 1, 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 SAN DIEGO, LLC
Practice address
2365 Northside Dr Ste 120
San Diego, CA 92108-2710
Phone
(855) 848-5433
Fax
(888) 971-4253
NPI assigned
Apr 25, 2011
Last updated
Apr 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 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 NU Primary

Addresses

Primary practice location

2365 Northside Dr Ste 120
San Diego, CA 92108-2710

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
O20111101000207 CA Part A Provider - Hospice 6103099536 Practice locations: San Diego, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245521269. Details of each certification follow.

Hospice certification: CCN 551652

Legal name
MISSION HOSPICE SERVICES OF SAN DIEGO, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 19, 2012
Last certification
Aug 24, 2018
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Mar 30, 2011 in CA
Enrollment address
2365 Northside Dr
Ste 120
San Diego, CA 92108-2710

Care Compare: Hospice

Medicare Care Compare
Listed as
Mission Hospice Services of San Diego LLCCCN 551652 · All quality measures
Ownership
For-Profit
Certified
Sep 19, 2012
Medicare certification status
ActiveFrom the Provider of Services file

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
05D2037661Mission Hospice Services2365 Northside Dr Ste 120, San Diego, CA 92108Certificate of waiverMar 4, 2028

National Provider Directory

National Provider Directory

Locations

2365 Northside Dr
Ste 120
San Diego, CA 92108
Phone (855) 848-5433

2375 Northside Dr
Ste 330
San Diego, CA 92108
Phone (888) 871-0766

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, 2021 100%
TVG Bolt Buyer, LLC Organization, Chicago, IL LLC, For-profit 5% Or Greater Indirect Ownership Interest Nov 25, 2021 47.79%
Mission Healthcare Services, LLC Organization, San Diego, CA Corporation, LLC, For-profit 5% Or Greater Direct Ownership Interest Mar 29, 2017 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, 2021 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%
Autumn Wachs Individual W-2 Managing EmployeeAd; Oct 1, 2023
TVG MH III (Ft) Blocker LLC Organization, Chicago, IL LLC, For-profit 5% Or Greater Indirect Ownership Interest Nov 25, 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 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, 2021 32.05%
Enoch Wang Individual Contracted Managing EmployeeMD; Apr 18, 2019

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.

  • Compass at Home-a Healthy Living Network Company, LLC

    dba Mission Home Health of Central Coast

    • Home Health Agency
    • Grover Beach, CA
    • NPI 1083050280

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

    Capricorn Healthcare & Special Opportunities II, LP, 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 Interme

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

    Capricorn Healthcare & Special Opportunities II, LP, 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 Interme

    CMS ownership
  • Healthy Living at Home - Palm Desert LLC

    dba Mission Home Health Palm Desert

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

    Capricorn Healthcare & Special Opportunities II, LP, 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 Interme

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

    Capricorn Healthcare & Special Opportunities II, LP, 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 Interme

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

    Capricorn Healthcare & Special Opportunities II, LP, 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 Interme

    CMS ownership
  • Healthy Living at Home LLC

    dba Mission Home Health of Sacramento

    • Home Health Agency
    • Sacramento, CA
    • NPI 1568760718

    Capricorn Healthcare & Special Opportunities II, LP, 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 Interme

    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

    Capricorn Healthcare & Special Opportunities II, LP, 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 Interme

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

    Capricorn Healthcare & Special Opportunities II, LP, MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, Mission Healthcare Services, LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH II

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

    Capricorn Healthcare & Special Opportunities II, LP, MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, Mission Healthcare Services, LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH II

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

    Capricorn Healthcare & Special Opportunities II, LP, MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, Mission Healthcare Services, LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH II

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

    Capricorn Healthcare & Special Opportunities II, LP, MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, Mission Healthcare Services, LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH II

    CMS ownership
View all 95

Practitioners & affiliated clinicians

Affiliated clinicians 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1245521269",
    "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": "2365 NORTHSIDE DR STE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921082710",
            "telephone_number": "855-848-5433",
            "fax_number": "888-971-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HOSPICE SERVICES OF SAN DIEGO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-25",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.