TUMALO FALLS HEALTHCARE LLC
NPI 1306669023
Home Health in Bend, OR

Active since November 01, 2024CLIA 38D2215603 · Waiver
454 NE REVERE AVE, BEND, OR 97701(541) 382-5050(541) 527-1717 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 7, 2025, Dec 3, 2024 (2 updates tracked since 2024).

About Tumalo Falls Healthcare Llc NPPES

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

TUMALO FALLS HEALTHCARE LLC (NPI 1306669023), doing business as Signature Healthcare At Home, is a healthcare organization registered as a home health in Bend, Oregon and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through March 3, 2027 and lists Amber Tueller, Secretary, as its authorized official.

NPPES Registry Identity

NPI1306669023
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameTUMALO FALLS HEALTHCARE LLC
Location Address454 NE REVERE AVEBend, OR 97701-4019
Mailing Address454 Ne Revere AveBend, OR 97701-4019
Fax(541) 527-1717
Organization SubpartNo
Authorized OfficialAmber TuellerSecretary · (208) 207-2726
Enumeration DateNovember 1, 2024
Last NPPES UpdateFebruary 7, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2025
NPI 1306669023 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.

454 NE REVERE AVE, Bend, OR 97701

Other Names 1

Doing Business AsSignature Healthcare At Home

CLIA Laboratory Certificates CMS CLIA

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 38D2215603

Tumalo Falls Healthcare LLC Dba Signature Healthcare At Home · Bend, OR
Active · expires Mar 3, 2027
CLIA Number38D2215603
Laboratory TypeHome Health Agency
Certificate Effective DateMarch 4, 2025
Certificate Expiration DateMarch 3, 2027
Laboratory DirectorSamantha Moos
Laboratory Phone(541) 382-5050
Laboratory LocationTumalo Falls Healthcare LLC Dba Signature Healthcare At Home454 Northeast Revere Avenue, Bend, OR 97701
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Hospice and Palliative Medicine)
454 NE REVERE AVE
BEND, OR 97701
Hospice Care, Community Based
454 NE REVERE AVE
BEND, OR 97701
Hospice Care, Community Based
454 NE REVERE AVE
BEND, OR 97701
Home Health
454 NE REVERE AVE
BEND, OR 97701

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 Tumalo Falls Healthcare LLC's NPI number?

The NPI number for Tumalo Falls Healthcare LLC is 1306669023. 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 Tumalo Falls Healthcare LLC located?

Tumalo Falls Healthcare LLC is located at 454 NE Revere Ave, Bend, OR 97701. The listed phone number is (541) 382-5050.

What is Tumalo Falls Healthcare LLC's specialty?

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

Does Tumalo Falls Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2215603) is associated with this NPI, valid through March 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tumalo Falls Healthcare LLC was last updated on February 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.