AVALON HOME HEALTH LLC (NPI# 1033157649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033157649 |
| Entity Type | Organization |
| Organization Name | AVALON HOME HEALTH LLC |
| Practice Address |
847 Se Watson St Roseburg OR 97470-3926 |
| Practice Telephone | 5414921246 |
| Practice Fax Number | 5414921247 |
| Mailing Telephone | 5414921246 |
| Mailing Fax Number | 5414921247 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2014-10-31 |
| Authorized Official Name | MS. PEGGY LEE MEHARRY (PRESIDENT) |
| Authorized Official Telephone | 5414921246 |
| Authorized Official Credential | RN, BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | AVALON HOME HEALTH LLC | 4949 Westgrove Dr #200, Dallas, TX 75248 |
| Street Address |
847 SE WATSON ST |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470-3926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316124258 | Peggy Lee Meharry | Registered Nurse | 847 Se Watson St, Roseburg, OR 97470-3926 | 2008-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| Find all providers in zip 97470 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609811181 | Mercy Medical Center, Inc. | Home Health | 2675 Nw Edenbower Blvd, Roseburg, OR 97471-6201 | 2006-06-18 |
| 1891760328 | Integricare, Inc. | Home Health | 500 Se Cass Ave, Suite 260, Roseburg, OR 97470-3103 | 2006-02-20 |
| 1679908628 | History Makers, Inc. | Home Health | 220 Cinbar Dr, Roseburg, OR 97471-9385 | 2013-09-10 |
| 1093908725 | Amedisys Oregon, L.L.C. | Home Health | 1820 Nw Mulholland Dr, Roseburg, OR 97470-1945 | 2007-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215548508 | Helen Lacsina Greer | Home Health | 248 Elma Ave Se, Salem, OR 97317-5464 | 2020-08-11 |
| 1760092167 | Charlotte Kreftmeyer | Home Health | 661 Skyhawk Dr, Ontario, OR 97914-3143 | 2020-07-31 |
| 1275156929 | Amy Marie Mathis | Home Health | 1787 Easy St, Medford, OR 97504-5325 | 2020-05-28 |
| 1841810256 | Destiny Robin Thomas | Home Health | 2544 Ne Clackamas St, Portland, OR 97232-1727 | 2020-04-26 |
| 1912533506 | Lucas Home Care, LLC | Home Health | 230 Se 3rd St # 100, Bend, OR 97702-9949 | 2020-03-16 |
| 1700421682 | Janelle S Foote | Home Health | 36540 Highway 140, Beatty, OR 97621-9706 | 2019-11-14 |
| 1972154441 | For The People LLC | Home Health | 10700 Sw Beaverton Hillsdale Hwy Ste 4709, Beaverton, OR 97005-3019 | 2019-09-25 |
| 1093363426 | Apex Health and Wellness | Home Health | 436 N Laurel St, Ashland, OR 97520-1113 | 2019-08-28 |
| 1962056341 | Cascade Specialized Nursing, LLC. | Home Health | 20831 Se Firwood Rd, Sandy, OR 97055-9487 | 2019-07-24 |
| 1528620887 | Chareese R Borland | Home Health | 2240 Nolan Ln, West Linn, OR 97068-4243 | 2019-07-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.