Healthcare Provider Details

I. General information

NPI: 1619065802
Provider Name (Legal Business Name): AVAMERE HOME HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 EXECUTIVE PKWY STE 410
EUGENE OR
97401-2169
US

IV. Provider business mailing address

7632 SW DURHAM RD STE 105
TIGARD OR
97224-7597
US

V. Phone/Fax

Practice location:
  • Phone: 541-461-0325
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ROBERT THOMAS
Title or Position: PRESIDENT
Credential: PT, MSPT
Phone: 971-979-0774