NPIMap

Organization Active NPI

Bellingham Healthcare LLC

Doing business as Signature Healthcare at Home

  • Home Health Agency
  • Bellingham, WA
National Provider Identifier
1790529352
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BELLINGHAM HEALTHCARE LLC
Doing business as
Signature Healthcare at Home
Practice address
4350 Cordata Pkwy Ste 102
Bellingham, WA 98226-8278
Phone
(360) 671-5872
NPI assigned
Jun 19, 2024
Last updated
Dec 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

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

Addresses

Primary practice location

4350 Cordata Pkwy Ste 102
Bellingham, WA 98226-8278

Mailing address

4350 Cordata Pkwy Ste 102
Bellingham, WA 98226-8278
Phone (360) 671-5872

Other names 1

  • Signature Healthcare at Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240827002799 WA Part A Provider - Home Health Agency 8820537400 Practice locations: Bellingham, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790529352. Details of each certification follow.

Home health agency certification: CCN 507116

Legal name
BELLINGHAM HEALTHCARE LLC
Doing business as
SIGNATURE HEALTHCARE AT HOME
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 22, 2004
Last certification
Apr 8, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
4350 Cordata Pkwy
Ste 102
Bellingham, WA 98226-8278

Care Compare: Home health agency

Medicare Care Compare
Listed as
Signature Healthcare at HomeCCN 507116 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Dec 22, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, 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
50D1027364Signature Healthcare at Home4350 Cordata Pkwy, Ste 102, Bellingham, WA 98226Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

459 W Stuart Rd
Bellingham, WA 98226
Phone (360) 671-5872

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12814/brand/1/csg/1/fhir/r4

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Cheryll Kiriak Individual W-2 Managing EmployeeAd; Feb 14, 2025
Cornerstone Healthcare Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Direct Ownership Interest Aug 1, 2024 100%
Brent Mills Individual Corporate OfficerTreasurer Mar 25, 2026
Brent Guerisoli Individual Corporate DirectorDirector & Sole Board Member Jun 4, 2024
The Pennant Group Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2024 100%
John J Gochnour Individual Corporate OfficerManager/President Jun 4, 2024
Amber Tueller Individual Corporate OfficerSecretary Jun 4, 2024
Elliot McMillan Individual Corporate OfficerVice President Jun 4, 2024

Facilities with the same owner 141

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 141

Change-of-ownership history 1

DateEventCounterparty
Aug 1, 2024 Change of OwnershipThis provider was the buyer Signature Healthcare at HomeCCN 507116, WA, NPI 1649368853

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767139200000",
    "number": "1790529352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 CORDATA PKWY STE 102",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268278",
            "telephone_number": "360-671-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 CORDATA PKWY STE 102",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268278",
            "telephone_number": "360-671-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLINGHAM HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature Healthcare at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.