AVAMERE HOME HEALTH CARE, LLC (NPI# 1083004626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083004626 |
| Entity Type | Organization |
| Organization Name | AVAMERE HOME HEALTH CARE, LLC |
| Other Organization Name | MILLCREEK HOME HEALTH |
| Practice Address |
5965 S 900 E Ste 200 Murray UT 84121-1854 |
| Mailing Address |
25117 Sw Parkway Ave Suite F Wilsonville OR 97070-9697 |
| Practice Telephone | 8014632478 |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2018-12-12 |
| Authorized Official Name | MR. ROBERT A. THOMAS (PRESIDENT) |
| Authorized Official Telephone | 5037832473 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Millcreek Home Health | Doing Business As Name - Organization |
| Signature Healthcare at Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841749462 | Avamere Home Health Care, LLC | Home Health | 3904 E Flamingo Ave Ste 100, Nampa, ID 83687-3144 | 2016-09-23 |
| 1790177962 | Avamere Home Health Care, LLC | Home Health | 240 W Burnside Ave, Suite B, Chubbuck, ID 83202-4702 | 2015-02-25 |
| 1649368853 | Avamere Home Health Care, LLC | Home Health | 459 Stuart Rd, Bellingham, WA 98226-1204 | 2006-10-11 |
| 1780772996 | Avamere Home Health Care, LLC | Home Health | 834 S Front St, Central Point, OR 97502-2726 | 2006-10-11 |
| 1619065802 | Avamere Home Health Care, LLC | Home Health | 2620 River Road, Eugene, OR 97401 | 2006-10-11 |
| 1396783395 | Avamere Home Health Care, LLC | Home Health | 7632 Sw Durham Road Suite 130, Tigard, OR 97224 | 2006-06-02 |
| 1225420193 | Avamere Home Health Care, LLC | Home Health | 625 S Washington St, Suite B, Afton, WY 83110 | 2015-03-02 |
| 1104218387 | Avamere Home Health Care, LLC | Home Health | 12272 S 800 E, Suite B, Draper, UT 84020-9789 | 2015-02-25 |
| 1902298185 | Avamere Home Health Care, LLC | Home Health | 74 W 100 N, Logan, UT 84321-4506 | 2015-02-25 |
| 1861580052 | Avamere Home Health Care, LLC | Home Health | 5150 Sw Griffith Dr, Beaverton, OR 97005-2935 | 2006-10-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | AVAMERE HOME HEALTH CARE, LLC | 25117 Sw Parkway Ste F, Wilsonville, OR 97070 |
| Oregon Corporations, Companies and Business Names | AVAMERE HOME HEALTH CARE, LLC | 25117 Sw Parkway Suite F, Wilsonville, OR 97070 |
| Street Address |
5965 S 900 E STE 200 |
| City | MURRAY |
| State | UT |
| Zip Code | 84121-1854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164727335 | Laura Chamberlain | Nurse Practitioner | 5965 S 900 E Ste 200, Murray, UT 84121-1854 | 2011-01-20 |
| 1194115972 | Northwest Hospice, LLC | Hospice Care, Community Based | 5965 S 900 E Ste 200, Murray, UT 84121-1854 | 2015-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| 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 |
|---|---|---|---|---|
| 1174178255 | Sierra Home Health Care Slc, LLC | Home Health | 5411 S Vine St Unit 5b, Murray, UT 84107-7756 | 2019-08-06 |
| 1477939858 | Inspiration Hospice | Home Health | 835 E 4800 S Ste 110, Murray, UT 84107-5531 | 2015-08-07 |
| 1154604635 | At Home Nursing Care LLC | Home Health | 5242 College Dr Ste 210, Murray, UT 84123-2706 | 2011-09-21 |
| 1114208550 | Encompass Home Health of The West, LLC | Home Health | 990 West Bellwood Lane, Murray, UT 84123-5435 | 2011-08-30 |
| 1528261476 | Faith Littlefield Bradley | Home Health | 765 Williams Way, Murray, UT 84107-3030 | 2007-06-07 |
| 1124036249 | First Choice Home Health & Hospice Specialists Inc | Home Health | 5296 Commerce Dr, Murray, UT 84107-4767 | 2006-08-04 |
| 1528037264 | Intermountain Home Health Inc | Home Health | 5882 S 900 E, Suite 101, Murray, UT 84121-1683 | 2006-03-15 |
| 1982691853 | Jdc & Associates, Inc | Home Health | 5278 Pinemont Dr, A-120, Murray, UT 84123-2711 | 2005-10-05 |
| 1043744782 | Home Health for Utah LLC | Home Health | 5097 S 900 E Ste 100, Murray, UT 84117-5725 | 2017-04-19 |
| 1134417181 | Inspiration Home Health LLC | Home Health | 835 E 4800 S, Suite 110, Murray, UT 84107-5040 | 2011-07-12 |
| Find all providers in MURRAY | ||||
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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.