Uplift Residential LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

UPLIFT RESIDENTIAL LLC

Practice address

234 NE Cleveland Ave
Gresham, OR 97030-7957

Phone

(971) 710-5848

NPI assigned

Aug 7, 2026

Organization subpart

No

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

Authorized official

Name

Selamawit Dejene

Title

Manager

Phone

(904) 415-0907

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1786060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1053235374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 NE CLEVELAND AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307957",
            "telephone_number": "971-710-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 NE CLEVELAND AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307957",
            "telephone_number": "971-710-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLIFT RESIDENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-07",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "DEJENE",
        "authorized_official_first_name": "SELAMAWIT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-415-0907"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Gresham, OR by specialty
• Mental Illness Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.