Heartland RTH LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

HEARTLAND RTH LLC

Practice address

1212 NE 194TH CT
Portland, OR 97230-7725

Phone

(971) 331-1781

NPI assigned

Oct 10, 2026

Last updated

Oct 10, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tewodros Estifanos Ayele

Title

Manager

Phone

(971) 331-1781

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1791590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791590400000",
    "number": "1164327052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 SE 187TH AVE APT 203",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972335459",
            "telephone_number": "971-331-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 NE 194TH CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972307725",
            "telephone_number": "971-331-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND RTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-10",
        "last_updated": "2026-10-10",
        "certification_date": "2026-10-10",
        "status": "A",
        "authorized_official_last_name": "AYELE",
        "authorized_official_first_name": "TEWODROS",
        "authorized_official_middle_name": "ESTIFANOS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "971-331-1781"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Portland, OR
• Providers in Portland, 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 Oct 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.