Organization Active NPI

Serenemind RTH LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Hillsboro, OR
National Provider Identifier
1073479804
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
SERENEMIND RTH LLC
Practice address
688 SE 37TH Ave
Hillsboro, OR 97123-7427
Phone
(503) 422-8583
NPI assigned
Dec 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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

Authorized official

Name
Grume A Mekonnen
Title
Authorized Official
Phone
(503) 422-8583

Specialties & licenses 1

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

Addresses

Primary practice location

688 SE 37TH Ave
Hillsboro, OR 97123-7427

Mailing address

688 SE 37TH Ave
Hillsboro, OR 97123-7427
Phone (503) 422-8583

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1766534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766534400000",
    "number": "1073479804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 SE 37TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971237427",
            "telephone_number": "503-422-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 SE 37TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971237427",
            "telephone_number": "503-422-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENEMIND RTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-24",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A",
        "authorized_official_last_name": "MEKONNEN",
        "authorized_official_first_name": "GRUME",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "503-422-8583"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.