Organization Active NPI

McMinnville Home Health LLC

Doing business as Mission Home Health of Salem

  • Home Health Agency
  • Salem, OR
National Provider Identifier
1255730743
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MCMINNVILLE HOME HEALTH LLC
Doing business as
Mission Home Health of Salem
Practice address
2601 25TH St SE Ste 340
Salem, OR 97302-1391
Phone
(503) 766-3124
Fax
(503) 575-9767
NPI assigned
Aug 20, 2014
Last updated
Apr 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Steve Murphy
Title
Cfo
Phone
(619) 757-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X OR Primary

Addresses

Primary practice location

2601 25TH St SE Ste 340
Salem, OR 97302-1391

Mailing address

2365 Northside Dr Ste 200
San Diego, CA 92108-2720
Phone (888) 871-0766

Other names 1

  • Mission Home Health of Salem Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140910001027 OR Part A Provider - Home Health Agency 3476772229 Practice locations: Salem, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255730743. Details of each certification follow.

Home health agency certification: CCN 387108

Legal name
MCMINNVILLE HOME HEALTH LLC
Doing business as
MISSION HOME HEALTH OF SALEM
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 7, 1992
Last certification
Aug 11, 2016
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jul 17, 2014 in OR
Enrollment address
2601 25TH St SE
Ste 340
Salem, OR 97302-1391

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mission Home Health of SalemCCN 387108 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Aug 7, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

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
38D0924878McMinnville Home Health, LLC Dba2601 25TH St, SE, Ste 340, Salem, OR 97302Certificate of waiverDec 31, 2027

National Provider Directory

National Provider Directory

Locations

200 Hawthorne Ave SE
Ste E510
Salem, OR 97301
Phone (503) 766-3124

2601 25th St SE
Ste 340
Salem, OR 97302
Phone (503) 766-3124

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Mission Healthcare Intermediate Holdings LLC Organization, San Diego, CA LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 85%
TVG Bolt Buyer, LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 40.62%
McMinnville Holdings LLC Organization, San Diego, CA Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Aug 31, 2018 100%
Capricorn Healthcare & Special Opportunities II, LP Organization, San Diego, CA 5% Or Greater Indirect Ownership Interest Jun 25, 2024 8.06%
MH Holdings Management Holdco LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 18.24%
Vistria Fund III (Ft) LP Organization, Chicago, IL Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 13.04%
TVG MH Holdings III (Ft) LP Organization, Chicago, IL Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 13.37%
TVG MH Intermediate Holdings LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 85%
HLH Portland JV Holdco, LLC Organization, San Diego, CA LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 11, 2018 100%
HLH TVG Holdings, LLC Organization, San Diego, CA LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 85%
TVG MH III (Ft) Blocker LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 13.37%
Steve Murphy Individual Corporate OfficerSVP, Finance Jun 5, 2023
Operational/Managerial ControlSVP, Finance Jun 5, 2023
Brian R Delamarter Individual 5% Or Greater Indirect Ownership Interest Oct 11, 2018 6.25%
D. D. & F. Organization, Vancouver, WA LLC, For-profit 5% Or Greater Indirect Ownership Interest Oct 11, 2018 15%
TVG MH Holdings LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 85%
Vistria Fund III LP Organization, Chicago, IL Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 27.24%
HLH Opco LLC Organization, San Diego, CA LLC, For-profit 5% Or Greater Indirect Ownership Interest Nov 1, 2021 85%

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 44

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

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1255730743",
    "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": "2601 25TH ST SE STE 340",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021391",
            "telephone_number": "503-766-3124",
            "fax_number": "503-575-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMINNVILLE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "619-757-2700"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Home Health of Salem",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.