Moulton Falls Healthcare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MOULTON FALLS HEALTHCARE LLC

Practice address

235 NE 6TH Ave Ste 3
Camas, WA 98607-2033

Phone

(208) 401-1400

NPI assigned

Sep 19, 2025

Organization subpart

No

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

Addresses

Other names 1

• Hidden Falls Performance Home Care Doing business as

Locations

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1215809397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 NE 6TH AVE STE 3",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986072033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 NE 6TH AVE STE 3",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986072033",
            "telephone_number": "208-401-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOULTON FALLS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "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": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hidden Falls Performance Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Noora Monghate, DPT
• Michele Monroe
• Ryan Moran, DPT
• Julie May Morgan-Vaughn, RN, IBCLC
• Gillian Morrison, REGISTERED DIETITIAN
• Derek Mowrey, LMT
• Scott M Murphy, OT
• Donna Maria Mussitsch-Manning, P.T.
• Elizabeth Anne Muzik, MD
• Patricia Ann Myers, LMHCA

• In Home Supportive Care Agency in Camas, WA
• Providers in Camas, WA by specialty
• In Home Supportive Care Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.