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MOUNT HOOD HEALTHCARE LLC
NPI 1033932777
Home Health in Tigard, OR

Active since November 01, 2024CLIA Certified · 2 labs
7632 SW DURHAM RD STE 100, TIGARD, OR 97224(503) 783-2470(971) 224-2504 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mount Hood Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNT HOOD HEALTHCARE LLC (NPI 1033932777), doing business as Signature Healthcare At Home, is a healthcare organization registered as a home health in Tigard, Oregon and active in the NPI registry since November 2024. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Salem, and lists Amber Tueller, Secretary, as its authorized official.

NPPES Registry Identity

NPI1033932777
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMOUNT HOOD HEALTHCARE LLC
Location Address7632 SW DURHAM RD STE 100Tigard, OR 97224-7597
Mailing Address7632 Sw Durham Rd Ste 100Tigard, OR 97224-7597
Phone(503) 783-2470
Fax(971) 224-2504
Organization SubpartNo
Authorized OfficialAmber TuellerSecretary · (208) 207-2726
Enumeration DateNovember 1, 2024
Last NPPES UpdateFebruary 7, 2025
NPPES CertifiedFebruary 7, 2025
✔ NPI 1033932777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
7632 SW DURHAM RD STE 100, Tigard, OR 97224
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Other Names 1

Doing Business AsSignature Healthcare At Home

Secondary Practice Location 1

Location 11220 20th St SE Ste 125Salem, OR 97302-2401 · Phone (503) 364-0347 · Fax (503) 364-9948

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D1045634

Mount Hood Healthcare LLC Dba Signature Healthcare At Home · Tigard, OR
Active · expires Sep 19, 2027
CLIA Number38D1045634
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 20, 2025
Certificate Expiration DateSeptember 19, 2027
Laboratory DirectorKirsten T. Brown
Laboratory Phone(503) 783-2470
Laboratory LocationMount Hood Healthcare LLC Dba Signature Healthcare At Home7632 SW Durham Rd Ste 100, Tigard, OR 97224
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D2206864

Mount Hood Healthcare LLC Dba Signature Healthcare At Home · Salem, OR
Active · expires Dec 21, 2026
CLIA Number38D2206864
Laboratory TypeHome Health Agency
Certificate Effective DateDecember 22, 2024
Certificate Expiration DateDecember 21, 2026
Laboratory DirectorKirsten T. Brown
Laboratory Phone(503) 364-0347
Laboratory LocationMount Hood Healthcare LLC Dba Signature Healthcare At Home1220 20th St SE, Ste 125, Salem, OR 97302
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mount Hood Healthcare LLC's NPI number?

The NPI number for Mount Hood Healthcare LLC is 1033932777. It was assigned to this organization in the NPPES registry on November 1, 2024. The provider is doing business as Signature Healthcare at Home.

Where is Mount Hood Healthcare LLC located?

Mount Hood Healthcare LLC is located at 7632 SW Durham Rd Ste 100, Tigard, OR 97224. The listed phone number is (503) 783-2470.

What is Mount Hood Healthcare LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Mount Hood Healthcare LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Mount Hood Healthcare LLC was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.