Mission Hospice Services of Los Angeles, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

550000050 Issued in CA

Legal business name

MISSION HOSPICE SERVICES OF LOS ANGELES, LLC

Practice address

875 S Westlake Blvd Ste 100
Westlake Village, CA 91361-2902

Phone

(805) 230-2626

NPI assigned

Feb 28, 2006

Last updated

Nov 20, 2023By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Silverado Hospice, Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336116284. Details of each certification follow.

• CCN 051786 Hospice · Active · Details

Hospice certification: CCN 051786

Legal name

MISSION HOSPICE SERVICES OF LOS ANGELES LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 8, 2005

Last certification

Nov 17, 2017

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Jun 28, 2021 in DE

Enrollment address

875 S Westlake Blvd
Ste 110
Westlake Village, CA 91361-2902

Listed as

Mission Hospice Services of Los Angeles LLCCCN 051786 · All quality measures

Ownership

For-Profit

Certified

Nov 8, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Charles Louis Pankratz, M.D.

  • Internal Medicine Physician
  • Ventura, CA
  • NPI 1689610511

  Contracted Managing Employee

  CMS ownership

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

Change-of-ownership history 2

Affiliated clinicians 2

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

• Puneet Khandelwal, D.O.

  • Internal Medicine Physician
  • Ventura, CA
  • NPI 1932559002

  Hospice

  Care Compare affiliation
• Charles Louis Pankratz, M.D.

  • Internal Medicine Physician
  • Ventura, CA
  • NPI 1689610511

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1336116284",
    "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": "875 S WESTLAKE BLVD STE 100",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612902",
            "telephone_number": "805-230-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HOSPICE SERVICES OF LOS ANGELES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2023-11-20",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "550000050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01786F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silverado Hospice, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Shirley Anne Miller, M.S., L.M.F.T
• Jennifer G. Miramontes, LMFT
• Miriam Hamideh, PH. D., Clinical Psychologist, Inc. (PCI Westlake Centers)
• Miryam Liberman, M.D., Inc.
• Ara Mirzaians, DMD
• Maura N Mitrushina, PH.D.
• MLW,Inc (Better Health & Wellness)
• Pooya Mobasseri, D.O.
• Mobile Geriatrics Professional Corporation
• Justin Moe, CADC

• Community Based Hospice Care Agency in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.