Organization Active NPI

Northwest Hospice LLC

Doing business as Signature Healthcare at Home

  • Community Based Hospice Care Agency
  • Tigard, OR
National Provider Identifier
1205849965
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
00177914 Issued in OR
Legal business name
NORTHWEST HOSPICE LLC
Doing business as
Signature Healthcare at Home
Signature Hospice
Practice address
7632 SW Durham Rd
Suite 130
Tigard, OR 97224-7584
Phone
(800) 936-4756
Fax
(503) 682-3989
NPI assigned
Aug 14, 2006
Last updated
Nov 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Mr. Robert Thomas, PT, MSPT
Title
President
Phone
(503) 783-2473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 00177914 OR Primary

Addresses

Primary practice location

7632 SW Durham Rd
Suite 130
Tigard, OR 97224-7584

Mailing address

7632 SW Durham Rd Ste 105
Tigard, OR 97224-7597

Other practice location 1

1220 20th St SE Ste 306
Salem, OR 97302-1205
Phone (503) 364-0347

Other identifiers 1

IdentifierTypeStateIssuer
005832MedicaidOR

Other names 2

  • Signature Healthcare at Home Doing business as
  • Signature Hospice Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Care Compare: Hospice

Medicare Care Compare
Listed as
Northwest Hospice, LLCCCN 381553
Ownership
For-Profit
Certified
Feb 22, 2006
Medicare certification status
ActiveFrom the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2207573Northwest Hospice, LLC Dba Signature Healthcare at1220 20TH Street SE, Suite 306, Salem, OR 97302Certificate of waiverDec 28, 2026

National Provider Directory

National Provider Directory

Locations

1220 20th St SE
Ste 306
Salem, OR 97302
Phone (503) 364-0347

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1205849965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7632 SW DURHAM RD STE 105",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7632 SW DURHAM RD",
            "address_2": "SUITE 130",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247584",
            "telephone_number": "800-936-4756",
            "fax_number": "503-682-3989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 20th St SE Ste 306",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973021205",
            "country_code": "US",
            "telephone_number": "503-364-0347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHWEST HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-783-2473",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, MSPT"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OR",
            "license": "00177914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005832",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Signature Healthcare at Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Signature Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Signature Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.