Access Residential Care

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

ACCESS RESIDENTIAL CARE

Practice address

12505 SE Ellis St
Portland, OR 97236-4211

Phone

(716) 431-0767

Fax

(716) 431-0767

NPI assigned

Aug 31, 2026

Last updated

Aug 31, 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

Tsion Habte

Title

Owner

Phone

(716) 431-0767

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1265340350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12505 SE ELLIS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972364211",
            "telephone_number": "716-431-0767",
            "fax_number": "716-431-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12505 SE ELLIS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972364211",
            "telephone_number": "716-431-0767",
            "fax_number": "716-431-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-30",
        "status": "A",
        "authorized_official_last_name": "HABTE",
        "authorized_official_first_name": "TSION",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-431-0767"
    },
    "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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• 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 Aug 31, 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.