Organization Active NPI

Healthy Living at Home - Palm Desert LLC

  • Home Health Agency
  • Palm Desert, CA
National Provider Identifier
1265848683
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALTHY LIVING AT HOME - PALM DESERT LLC
Practice address
36953 Cook St Ste 102
Palm Desert, CA 92211-6083
Phone
(760) 834-8501
Fax
(760) 406-5926
NPI assigned
Jul 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Steve Murphy
Title
SVP, Finance
Phone
(619) 757-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

36953 Cook St Ste 102
Palm Desert, CA 92211-6083

Mailing address

2365 Northside Dr Ste 200
San Diego, CA 92108-2720
Phone (888) 871-0766

Other names 1

  • Mission Home Health Palm Desert Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140814002576 CA Part A Provider - Home Health Agency 7012134091 Practice locations: Palm Desert, CA

Home health agency certification: CCN 059695

Legal name
HEALTHY LIVING AT HOME - PALM DESERT, LLC
Doing business as
MISSION HOME HEALTH PALM DESERT
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 19, 2015
Last certification
Nov 12, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 13, 2014 in CA
Enrollment address
36953 Cook St
Ste 102
Palm Desert, CA 92211-6083

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mission Home Health Palm DesertCCN 059695
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Nov 19, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

41990 Cook St
Ste 801
Palm Desert, CA 92211

41990 Cook St
#801A
Palm Desert, CA 92211
Phone (855) 686-4836

36953 Cook St
Ste 102
Palm Desert, CA 92211
Phone (760) 834-8501

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 Jul 1, 2022 100%
TVG Bolt Buyer, LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 25, 2024 47.79%
Capricorn Healthcare & Special Opportunities II, LP Organization, San Diego, CA For-profit 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 Jun 25, 2024 21.47%
Vistria Fund III (Ft) LP Organization, Chicago, IL Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 25, 2024 15.33%
TVG MH Holdings III (Ft) LP Organization, Chicago, IL Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 25, 2024 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 Jul 1, 2022 100%
TVG MH III (Ft) Blocker LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 25, 2024 15.73%
Steve Murphy Individual Corporate OfficerSVP, Finance Jun 5, 2023
Operational/Managerial ControlSVP, Finance Jun 5, 2023
HLH Palm Desert Holdings LLC Organization, San Diego, CA LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2022 100%
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 Jun 25, 2024 32.05%
HLH Opco LLC Organization, San Diego, CA LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2022 100%

Facilities with the same owner 95

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

View all 95

Affiliated clinicians 61

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

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1265848683",
    "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": "36953 COOK ST STE 102",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116083",
            "telephone_number": "760-834-8501",
            "fax_number": "760-406-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIVING AT HOME - PALM DESERT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2024-01-10",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SVP, FINANCE",
        "authorized_official_telephone_number": "619-757-2700"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Home Health Palm Desert",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mission Home Health Palm Desert",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.