Growth Residential LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

GROWTH RESIDENTIAL LLC

Practice address

6086 SW 161St Ave
Beaverton, OR 97007-4012

Phone

(818) 818-4877

NPI assigned

Dec 27, 2025

Organization subpart

No

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

Authorized official

Name

Omar Ahmed

Title

Owner

Phone

(818) 818-4877

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1766793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766793600000",
    "number": "1144186750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6086 SW 161ST AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970074012",
            "telephone_number": "818-818-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6086 SW 161ST AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970074012",
            "telephone_number": "818-818-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWTH RESIDENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-27",
        "last_updated": "2025-12-27",
        "certification_date": "2025-12-27",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-818-4877"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Groom, RN
• Debra Lynn Gross
• Elizabeth Grove, DPT
• Danielle Grover, PHD
• Growth Endeavor PC
• Mary M Gruen, PT
• Yana Gruntkovskaya, LMT
• Kyle Roger Grunwald, DC
• Zhen Gu
• Lillian Katrina Guarrera

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.