Active NPI
Healthy Living at Home - Modesto LLC
- Home Health Agency
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HEALTHY LIVING AT HOME - MODESTO LLC
- Practice address
- 3600 Sisk Rd Ste 1C
Modesto, CA 95356-0585 - Phone
- (209) 300-7898
- Fax
- (209) 320-3566
- NPI assigned
- Jul 7, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
3600 Sisk Rd Ste 1C
Modesto, CA 95356-0585
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141016002493 | CA | Part A Provider - Home Health Agency | 2769603737 | Practice locations: Modesto, CA |
Home health agency certification: CCN 059686
- Legal name
- HEALTHY LIVING AT HOME - MODESTO LLC
- Doing business as
- MISSION HOME HEALTH OF MODESTO
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 24, 2015
- Last certification
- Sep 28, 2018
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Apr 1, 2014 in CA
- Enrollment address
- 3600 Sisk Rd
Ste 1C
Modesto, CA 95356-0585
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Healthy Living at Home- Modesto, LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Oct 24, 2015
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2093993 | Healthy Living at Home- Modesto, LLC | Certificate of waiver | Apr 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
2301 Coffee Rd
#1
Modesto, CA 95355
Phone (855) 464-5108
3600 Sisk Rd
Ste 1C
Modesto, CA 95356
Phone (209) 300-7898
Ownership & related parties
All disclosed owners & managing parties 16
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Mission Healthcare Intermediate Holdings LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 90% |
| TVG Bolt Buyer, LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 43.01% |
| HLH Modesto Holdings, LLC | 5% Or Greater Direct Ownership Interest | Nov 1, 2021 | 90% |
| Capricorn Healthcare & Special Opportunities II, LP | 5% Or Greater Indirect Ownership Interest | Jun 25, 2024 | 8.54% |
| MH Holdings Management Holdco LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 19.32% |
| Vistria Fund III (Ft) LP | 5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 13.8% |
| TVG MH Holdings III (Ft) LP | 5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 14.16% |
| TVG MH Intermediate Holdings LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 90% |
| HLH TVG Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 90% |
| Cesar E Anaya-Velasquez | 5% Or Greater Direct Ownership Interest | Aug 25, 2018 | 5% |
| TVG MH III (Ft) Blocker LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 14.16% |
| Steve Murphy | Corporate Officer | Jun 5, 2023 | |
| Operational/Managerial Control | Jun 5, 2023 | ||
| Eduardo C Montesinos | 5% Or Greater Direct Ownership Interest | Aug 25, 2018 | 5% |
| TVG MH Holdings LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 90% |
| Vistria Fund III LP | 5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 28.84% |
| HLH Opco LLC | 5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 90% |
Facilities with the same owner 95
Facilities that share an organizational owner with 5% or greater ownership or operational control.
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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
-
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Capricorn Healthcare & Special Opportunities II, LP, 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 M
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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
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- Home Health Agency
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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
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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
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- NPI 1871965970
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
-
- Community Based Hospice Care Agency
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- NPI 1912568932
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
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": "1700438400000",
"number": "1376959775",
"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": "3600 SISK RD STE 1C",
"city": "MODESTO",
"state": "CA",
"postal_code": "953560585",
"telephone_number": "209-300-7898",
"fax_number": "209-320-3566"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY LIVING AT HOME - MODESTO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-07",
"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": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
- Heale, a Professional Licensed Clinical Social Work Corporation
- Heale, a Professional Licensed Clinical Social Work Corporation
- Health Services Agency Outpatient Pharmacy
- Healthnhealing Inc
- Healthy Alternatives to Violent Environments (Haven)
- Kathleen Patricia Healy, PHN
- Lauren Heard, BA
- Chad Hearon
- Heart Way Transport LLC
- Glen Frances Hebert, D.D.S.
Sources for this page
- 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.