Active NPI
Advanced Home Health Northwest LLC
Doing business as Mission Home Health of Bend
- Home Health Agency
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ADVANCED HOME HEALTH NORTHWEST LLC
- Doing business as
- Mission Home Health of Bend
- 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
- Last updated
- Apr 2, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
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 1
- Mission Home Health of Bend
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150917001281 | OR | Part A Provider - Home Health Agency | 0244547644 | Practice locations: Bend, OR |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1477929776. Details of each certification follow.
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
- Incorporated
- Jul 21, 2015 in OR
- Enrollment address
- 1558 SW Nancy Way
Ste 104
Bend, OR 97702-3216
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Mission Home Health of Bend
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jan 28, 2013
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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
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.
| 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% |
Facilities with the same owner 96
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Mission Home Health of Portland
- Home Health Agency
- Portland, OR
- NPI 1346580610
Capricorn Healthcare & Special Opportunities II, LP, D. D. & F., HLH Opco LLC, HLH Portland JV Holdco, LLC, HLH TVG Holdings, LLC, MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, TVG Bolt Buyer, LLC, TVG MH Holding
-
dba Mission Home Health of Salem
- Home Health Agency
- Salem, OR
- NPI 1255730743
Capricorn Healthcare & Special Opportunities II, LP, D. D. & F., HLH Opco LLC, HLH Portland JV Holdco, LLC, HLH TVG Holdings, LLC, MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, TVG Bolt Buyer, LLC, TVG MH Holding
-
dba VitalCaring Group
- Home Health Agency
- Crystal River, FL
- NPI 1083614119
Vistria Fund III (Ft) LP, Vistria Fund III LP
-
dba VitalCaring Group
- Home Health Agency
- Missouri City, TX
- NPI 1194123521
Vistria Fund III (Ft) LP, Vistria Fund III LP
-
dba VitalCaring Group
- Home Health Agency
- Beaumont, TX
- NPI 1679842298
Vistria Fund III (Ft) LP, Vistria Fund III LP
-
dba VitalCaring Group
- Home Health Agency
- Porter, TX
- NPI 1982765632
Vistria Fund III (Ft) LP, Vistria Fund III LP
-
dba Traditions Health of Checotah
- Home Health Agency
- Muskogee, OK
- NPI 1679051122
Vistria Fund III (Ft) LP, Vistria Fund III LP
-
dba VitalCaring Group
- Home Health Agency
- Houma, LA
- NPI 1144210485
Vistria Fund III (Ft) LP, Vistria Fund III LP
-
dba VitalCaring Group
- Home Health Agency
- Morgan City, LA
- NPI 1609009844
Vistria Fund III (Ft) LP, Vistria Fund III LP
-
dba VitalCaring Group
- Community Based Hospice Care Agency
- Flowood, MS
- NPI 1821419052
Vistria Fund III (Ft) LP, Vistria Fund III LP
-
dba Carson Tahoe Transitional Rehabilitation Center
- Skilled Nursing Facility
- Carson City, NV
- NPI 1801396247
D. D. & F.
-
dba Mission Home Health of Central Coast
- Home Health Agency
- Grover Beach, CA
- NPI 1083050280
HLH Opco LLC, HLH TVG Holdings, LLC, MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH III (Ft) Blocker LLC, TVG MH Intermediate Holdings
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.
-
- Physical Therapist
- Clackamas, OR
- NPI 1346796752
Affiliated clinicians 18
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Madras, OR
- NPI 1902018757
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743552000000",
"number": "1477929776",
"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": "1558 SW NANCY WAY STE 140",
"city": "BEND",
"state": "OR",
"postal_code": "977023216",
"telephone_number": "541-241-3369",
"fax_number": "541-244-2443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED HOME HEALTH NORTHWEST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-20",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mission Home Health of Bend",
"code": "3",
"type": "Doing Business As"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.