Active NPI
Mission Hospice Services of East Bay LLC
- Community Based Hospice Care Agency
- Pleasanton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- MISSION HOSPICE SERVICES OF EAST BAY LLC
- Practice address
- 5976 W Las Positas Blvd Ste 118
Pleasanton, CA 94588-8506 - Phone
- (619) 757-2700
- NPI assigned
- Mar 3, 2021
- 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 |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
5976 W Las Positas Blvd Ste 118
Pleasanton, CA 94588-8506
Mailing address
2365 Northside Dr Ste 200
San Diego, CA 92108-2720
Phone (619) 757-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220405000536 | CA | Part A Provider - Hospice | 6406242247 | Practice locations: Pleasanton, CA |
Hospice certification: CCN A11731
- Legal name
- MISSION HOSPICE SERVICES OF EAST BAY LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Feb 10, 2021
- Last certification
- Feb 10, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Jan 26, 2021 in CA
- Enrollment address
- 5976 W Las Positas Blvd
Ste 118a
Pleasanton, CA 94588-8506
Care Compare: Hospice
Medicare Care Compare- Listed as
- Mission Hospice Services of East Bay, LLC
- Certified
- Feb 10, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
5976 W Las Positas Blvd
Ste 118A
Pleasanton, CA 94588
Phone (925) 201-3921
Ownership & related parties
All disclosed owners & managing parties 11
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 | Jan 26, 2021 | 100% |
| TVG Bolt Buyer, LLC | 5% Or Greater Indirect Ownership Interest | May 1, 2023 | 49.05% |
| Mission Healthcare Services, LLC | 5% Or Greater Direct Ownership Interest | Jan 26, 2021 | 100% |
| MH Holdings Management Holdco LLC | 5% Or Greater Indirect Ownership Interest | May 1, 2023 | 20% |
| Vistria Fund III (Ft) LP | 5% Or Greater Indirect Ownership Interest | May 1, 2023 | 15.74% |
| Paul Verhoeve | Corporate Officer | Jan 26, 2021 | |
| W-2 Managing Employee | May 1, 2023 | ||
| Operational/Managerial Control | May 1, 2023 | ||
| TVG MH Holdings III (Ft) LP | 5% Or Greater Indirect Ownership Interest | May 1, 2023 | 16.15% |
| TVG MH Intermediate Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jan 26, 2021 | 100% |
| TVG MH III (Ft) Blocker LLC | 5% Or Greater Indirect Ownership Interest | May 1, 2023 | 16.15% |
| TVG MH Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jan 26, 2021 | 100% |
| Vistria Fund III LP | 5% Or Greater Indirect Ownership Interest | May 1, 2023 | 32.89% |
Facilities with the same owner 94
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- 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
-
- Home Health Agency
- Modesto, CA
- NPI 1376959775
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
-
- Home Health Agency
- Monterey, CA
- NPI 1063801488
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
-
- Home Health Agency
- Palm Desert, CA
- NPI 1265848683
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
-
- Home Health Agency
- Redding, CA
- NPI 1063853398
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
-
- Home Health Agency
- Concord, CA
- NPI 1538411632
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
-
- Home Health Agency
- Sacramento, CA
- NPI 1568760718
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
-
- Home Health Agency
- San Marcos, CA
- NPI 1396011870
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
-
- Home Health Agency
- Irvine, CA
- NPI 1013309707
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 III (Ft) Blocker LLC, TVG MH Intermediate Holdings LLC
-
- Home Health Agency
- Ontario, CA
- NPI 1528450475
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 III (Ft) Blocker LLC, TVG MH Intermediate Holdings LLC
-
- Home Health Agency
- San Diego, CA
- NPI 1063726628
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 III (Ft) Blocker LLC, TVG MH Intermediate Holdings LLC
-
- Home Health Agency
- Oxnard, CA
- NPI 1871965970
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 III (Ft) Blocker LLC, TVG MH Intermediate Holdings LLC
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Mar 15, 2021 | Change of Ownership | Alliance Hospice Care |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Community Based Hospice Care Agency
- Pleasanton, CA
- NPI 1972086148
Acquired from, 2021-03-15
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700438400000",
"number": "1831784701",
"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": "619-757-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5976 W LAS POSITAS BLVD STE 118",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945888506",
"telephone_number": "619-757-2700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSION HOSPICE SERVICES OF EAST BAY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-03",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, CA
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.