Organization Active NPI

Healthcare LLC.

  • Mental Illness Community Based Residential Treatment Facility
  • Portland, OR
National Provider Identifier
1023801768
Registry record updated May 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
HEALTHCARE LLC.
Practice address
459 SE 192ND Ave Apt 502
Portland, OR 97233-5997
Phone
(971) 429-9813
Fax
(971) 429-9813
NPI assigned
May 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dewo Mebrat Yadeto, MHA
Title
Lnha
Phone
(971) 429-9813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

459 SE 192ND Ave Apt 502
Portland, OR 97233-5997

Mailing address

459 SE 192ND Ave Apt 502
Portland, OR 97233-5997
Phone (971) 429-9813

Other practice location 1

8105 SE 89th Ave # 502
Portland, OR 97266-6507
Phone (971) 429-9813

Other names 1

  • HealthCare, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748649600000",
    "number": "1023801768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 SE 192ND AVE APT 502",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972335997",
            "telephone_number": "971-429-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 SE 192ND AVE APT 502",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972335997",
            "telephone_number": "971-429-9813",
            "fax_number": "971-429-9813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8105 SE 89th Ave # 502",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972666507",
            "country_code": "US",
            "telephone_number": "971-429-9813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTHCARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-26",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A",
        "authorized_official_last_name": "YADETO",
        "authorized_official_first_name": "DEWO",
        "authorized_official_middle_name": "MEBRAT",
        "authorized_official_title_or_position": "LNHA",
        "authorized_official_telephone_number": "971-429-9813",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthCare, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.