Advanced Home Health Northwest LLC
Organization Active NPI Home Health Agency · Bend, OR
NPI 1477929776 · NPPES record last updated Apr 2, 2025
Key facts
- NPI
- 1477929776
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- ADVANCED HOME HEALTH NORTHWEST LLC
- Practice address
- 1558 SW Nancy Way Ste 140
Bend, OR 97702-3216 - Phone
- (541) 241-3369
- Fax
- (541) 244-2443
- NPI assigned
- Aug 20, 2015
- Organization subpart
- No
Authorized official
- Name
- Steve Murphy
- Title
- Cfo
- Phone
- (619) 757-2700
Facilities with the same owner 96
Practitioners 1
Affiliated clinicians 18
-
Lance Spencer Adams, M.D.
-
John Robert Allen, M.D.
-
Alwin Borgmann, D.O.
-
Rebecca L Ferguson, D.O.
-
Taylor K Garr Jones, FNP
-
Dausen John Harker, M.D.
-
Michael N Harris, M.D.
-
William P Irvine, MD
-
Matthew R Lasala, M.D.
-
Mary Manfredi, MD
-
Gary M Plant, MD
-
Michael K Schlepp, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Mission Home Health of Bend
- Overall star rating
- ★★★★☆ 3.5 of 5
- Ownership
- Proprietary
- Certified
- Jan 28, 2013
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Home health agency certification: CCN 387160
- Legal name
- ADVANCED HOME HEALTH NORTHWEST LLC
- Doing business as
- MISSION HOME HEALTH OF BEND
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 28, 2013
- Last certification
- Aug 11, 2016
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Incorporated
- Jul 21, 2015 in OR
- Enrollment address
- 1558 SW Nancy Way
Ste 104
Bend, OR 97702-3216
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Mission Healthcare Intermediate Holdings LLC |
5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 85% |
| TVG Bolt Buyer, LLC |
5% Or Greater Indirect Ownership Interest | Jun 25, 2024 | 40.62% |
| Capricorn Healthcare & Special Opportunities II, LP |
5% Or Greater Indirect Ownership Interest | Jun 25, 2024 | 8.06% |
| MH Holdings Management Holdco LLC |
5% Or Greater Indirect Ownership Interest | Jun 25, 2024 | 18.24% |
| Vistria Fund III (Ft) LP |
5% Or Greater Indirect Ownership Interest | Jun 25, 2024 | 13.04% |
| TVG MH Holdings III (Ft) LP |
5% Or Greater Indirect Ownership Interest | Jun 25, 2024 | 13.37% |
| TVG MH Intermediate Holdings LLC |
5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 85% |
| HLH Portland JV Holdco, LLC |
5% Or Greater Indirect Ownership Interest | Oct 11, 2018 | 100% |
| HLH TVG Holdings, LLC |
5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 85% |
| TVG MH III (Ft) Blocker LLC |
5% Or Greater Indirect Ownership Interest | Jun 25, 2024 | 13.37% |
| Steve Murphy |
Corporate Officer |
Jun 5, 2023 | |
| Operational/Managerial Control |
Jun 5, 2023 | ||
| Brian R Delamarter |
5% Or Greater Indirect Ownership Interest | Oct 11, 2018 | 6.25% |
| D. D. & F. |
5% Or Greater Indirect Ownership Interest | Oct 11, 2018 | 15% |
| TVG MH Holdings LLC |
5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 85% |
| Vistria Fund III LP |
5% Or Greater Indirect Ownership Interest | Jun 25, 2024 | 27.24% |
| Advanced HH Holdings, LLC |
5% Or Greater Direct Ownership Interest | Aug 31, 2018 | 100% |
| HLH Opco LLC |
5% Or Greater Indirect Ownership Interest | Nov 1, 2021 | 85% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150917001281 | OR | Part a Provider - Home Health Agency | 0244547644 | Practice locations: Bend, OR |
National Provider Directory
Locations
1558 SW Nancy Way
Ste 104
Bend, OR 97702
Phone (503) 720-6009
10121 SE Sunnyside Rd
Ste 210
Clackamas, OR 97015
Phone (360) 735-7155
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
1558 SW Nancy Way Ste 140
Bend, OR 97702-3216
Mailing address
2365 Northside Dr Ste 200
San Diego, CA 92108-2720
Phone (888) 871-0766
Other names
- Mission Home Health of Bend
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2025. 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.