Dave 24HR Residential LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

DAVE 24HR RESIDENTIAL LLC

Practice address

11863 E Burnside St
Portland, OR 97216-3731

Phone

(971) 393-6460

NPI assigned

Dec 15, 2025

Organization subpart

No

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

Authorized official

Name

Dawit Berisso

Title

Executive Director

Phone

(971) 393-6460

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1174487813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11863 E BURNSIDE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972163731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11863 E BURNSIDE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972163731",
            "telephone_number": "971-393-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVE 24HR RESIDENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "BERISSO",
        "authorized_official_first_name": "DAWIT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "971-393-6460"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Daumas
• Jacob Robert Daumen, L.AC.
• Candace Dauphinais, CRNA
• Hayley Dauterman
• Amber Bernice Davar
• Sonal B. Dave, M.D.
• Davenport Development Services LLC
• Kimberli Kevin Davenport-Holladay, MS CCCA
• Anna Davenport
• Dori Christine Davenport, R.D.H.

• Adult Care Home Facility in Portland, OR
• Providers in Portland, OR by specialty
• Adult Care Home Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.