Willamette Healthcare LLC
Organization Active NPI Home Health Agency · Eugene, OR
NPI 1013733211 · NPPES record last updated Sep 10, 2026
Key facts
- NPI
- 1013733211
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- WILLAMETTE HEALTHCARE LLC
- Practice address
- 1200 Executive Pkwy Ste 410
Eugene, OR 97401-2169 - Phone
- (541) 461-0325
- Fax
- (541) 461-0571
- NPI assigned
- Dec 3, 2024
- Organization subpart
- No
Authorized official
- Name
- Amber Tueller
- Title
- Secretary
- Phone
- (208) 207-2726
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Change of ownership 1
Facilities with the same owner 141
Affiliated clinicians 120
-
Brittany Alloway, DO
-
Reda Tawfik Bassaly, PA-C
-
Shashank Bathula, DO
-
Jeffrey G Baxter, M.D.
-
Jennifer Patricia Bellinger, MSM, APRN, FNP-C
-
Marylou L. Belozer, M.D.
-
Lorne Bigley, MD
-
Heidi Lee Blair, ARNP
-
Brandi L Boller, DO
-
Skotti Deanne Church, M.D
-
Sarah Crowe May, DO
-
Olivia Martine Danforth, M.D.
-
Sarah De Forest, MD
Medicare Care Compare: Home health agency
- Listed as
- Signature Healthcare at Home
- Overall star rating
- ★★★★★ 4.5 of 5
- Ownership
- Proprietary
- Certified
- Jul 30, 1997
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
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
- LLC · Proprietary
- Enrollment address
- 1200 Executive Pkwy
Ste 410
Eugene, OR 97401-2169
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Cornerstone Healthcare Inc |
5% Or Greater Direct Ownership Interest | Jan 1, 2025 | 100% |
| Samantha Monroe |
W-2 Managing Employee |
Jan 1, 2025 | |
| Brent Mills |
Corporate Officer |
Mar 26, 2026 | |
| Brent Guerisoli |
Corporate Director |
Jan 1, 2025 | |
| The Pennant Group Inc |
5% Or Greater Indirect Ownership Interest | Jan 1, 2025 | 100% |
| John J Gochnour |
Corporate Officer |
Jan 1, 2025 | |
| Amber Tueller |
Corporate Officer |
Jan 1, 2025 | |
| Elliot McMillan |
Corporate Officer |
Jan 1, 2025 |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Jan 1, 2025 | Change of Ownership |
Signature Healthcare at Home |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250124000038 | OR | Part a Provider - Home Health Agency | 1254860067 | Practice locations: Albany, OR; Eugene, OR |
National Provider Directory
- Tax ID family
- Signature Healthcare at Home
Locations
317 1st Ave NW
Ste 102
Albany, OR 97321
Phone (541) 689-3508
317 1st Ave NW
Ste 103
Albany, OR 97321
Phone (541) 812-5254
1200 Executive Pkwy
Ste 410
Eugene, OR 97401
Phone (541) 461-0325
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
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
- Signature Healthcare at Home
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.