NPIMap

Organization Active NPI

Willamette Healthcare LLC

Doing business as Signature Healthcare at Home

  • Home Health Agency
  • Eugene, OR
National Provider Identifier
1013733211
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WILLAMETTE HEALTHCARE LLC
Doing business as
Signature Healthcare at Home
Practice address
1200 Executive Pkwy Ste 410
Eugene, OR 97401-2169
Phone
(541) 461-0325
Fax
(541) 461-0571
NPI assigned
Dec 3, 2024
Last updated
Sep 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
Amber Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1200 Executive Pkwy Ste 410
Eugene, OR 97401-2169

Mailing address

1200 Executive Pkwy Ste 410
Eugene, OR 97401-2169
Phone (541) 461-0325

Other practice location 1

808 Old Salem Rd NE
Albany, OR 97321-4539
Phone (541) 812-5254

Other names 1

  • Signature Healthcare at Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250124000038 OR Part A Provider - Home Health Agency 1254860067 Practice locations: Albany, OR; Eugene, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013733211. Details of each certification follow.

Home health agency certification: CCN 387140

Legal name
WILLAMETTE HEALTHCARE LLC
Doing business as
SIGNATURE HEALTHCARE AT HOME
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 30, 1997
Last certification
Sep 26, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
1200 Executive Pkwy
Ste 410
Eugene, OR 97401-2169
HHA Branch

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Signature Healthcare at HomeCCN 387140 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jul 30, 1997
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
Tax ID family
Signature Healthcare at Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1200 Executive Pkwy
Ste 410
Eugene, OR 97401
Phone (541) 461-0325

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Cornerstone Healthcare Inc Organization, Eagle, ID Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2025 100%
Samantha Monroe Individual W-2 Managing EmployeeAd; Jan 1, 2025
Brent Mills Individual Corporate OfficerTreasurer Mar 26, 2026
Brent Guerisoli Individual Corporate DirectorDirector Jan 1, 2025
The Pennant Group Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2025 100%
John J Gochnour Individual Corporate OfficerPresident/LLC Manager Jan 1, 2025
Amber Tueller Individual Corporate OfficerSecretary Jan 1, 2025
Elliot McMillan Individual Corporate OfficerVice President Jan 1, 2025

Facilities with the same owner 141

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

View all 141

Change-of-ownership history 1

DateEventCounterparty
Jan 1, 2025 Change of OwnershipThis provider was the buyer Signature Healthcare at HomeCCN 387140, OR, NPI 1619065802

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 120

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

View all 120

NPI Registry JSON

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1013733211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 EXECUTIVE PKWY STE 410",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012169",
            "telephone_number": "541-461-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EXECUTIVE PKWY STE 410",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012169",
            "telephone_number": "541-461-0325",
            "fax_number": "541-461-0571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 Old Salem Rd NE",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973214539",
            "country_code": "US",
            "telephone_number": "541-812-5254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILLAMETTE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature Healthcare at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.