NPIMap

Organization Active NPI

Healthy Living at Home - Carson City LLC

  • Home Health Agency
  • Carson City, NV
National Provider Identifier
1922597574
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALTHY LIVING AT HOME - CARSON CITY LLC
Practice address
1817 N Stewart St Ste 20&25
Carson City, NV 89706-2689
Phone
(775) 515-4203
Fax
(775) 204-2441
NPI assigned
May 8, 2018
Last updated
Nov 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

1817 N Stewart St Ste 20&25
Carson City, NV 89706-2689

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 NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180716002251 NV Part A Provider - Home Health Agency 1850648312 Practice locations: Carson City, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922597574. Details of each certification follow.

Home health agency certification: CCN 297249

Legal name
HEALTHY LIVING AT HOME - CARSON CITY LLC
Doing business as
MISSION HOME HEALTH OF CARSON CITY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 5, 2019
Last certification
Feb 5, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Apr 5, 2018 in NV
Enrollment address
1817 N Stewart St
Ste 20&25
Carson City, NV 89706-2689

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mission Home Health of Carson CityCCN 297249 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Feb 5, 2019
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

1817 N Stewart St
Ste 2025
Carson City, NV 89706
Phone (775) 515-4203

1817 N Stewart St
Ste 35
Carson City, NV 89706
Phone (775) 515-4203

600 E William St
Ste 208
Carson City, NV 89701
Phone (775) 629-2502

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gregory J. Vislocky Individual 5% Or Greater Indirect Ownership InterestIndirect Oct 11, 2018 12%
Mission Healthcare Intermediate Holdings LLC Organization, San Diego, CA LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 12, 2021 60%
TVG Bolt Buyer, LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 12, 2021 28.67%
Capricorn Healthcare & Special Opportunities II, LP Organization, Chicago, IL Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 12, 2021 5.55%
MH Holdings Management Holdco LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 12, 2021 12.88%
Vistria Fund III (Ft) LP Organization, Chicago, IL For-profit 5% Or Greater Indirect Ownership Interest Jul 12, 2001 9.2%
HLH Carson City Holdings LLC Organization, San Diego, CA LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Apr 18, 2018 100%
TVG MH Holdings III (Ft) LP Organization, Chicago, IL Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 12, 2021 9.44%
TVG MH Intermediate Holdings LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 12, 2021 60%
HLH TVG Holdings, LLC Organization, San Diego, CA LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Oct 11, 2018 60%
TVG MH III (Ft) Blocker LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 12, 2021 9.44%
Steve Murphy Individual Corporate OfficerSVP, Finance Jun 5, 2023
Corporate DirectorSVP, Finance Jun 5, 2023
Operational/Managerial ControlSVP, Finance Jun 5, 2023
Brian R Delamarter Individual 5% Or Greater Indirect Ownership InterestIndirect Oct 11, 2018 16.67%
D. D. & F. Organization, Vancouver, WA For-profit 5% Or Greater Indirect Ownership Interest Oct 11, 2018 40%
TVG MH Holdings LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 12, 2021 60%
Vistria Fund III LP Organization, Chicago, IL For-profit 5% Or Greater Indirect Ownership Interest Jul 12, 2021 19.22%
Harold G Delamarter Individual 5% Or Greater Indirect Ownership InterestIndirect Oct 11, 2018 11.33%
HLH Opco LLC Organization, San Diego, CA LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 11, 2018 60%

Facilities with the same owner 96

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

View all 96

Practitioners & affiliated clinicians

Affiliated clinicians 94

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

View all 94

NPI Registry JSON

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1922597574",
    "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": "1817 N STEWART ST STE 20&25",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897062689",
            "telephone_number": "775-515-4203",
            "fax_number": "775-204-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIVING AT HOME - CARSON CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "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 Carson City, NV

Sources for this page

Verify at the official NPI Registry.