Novella Haven LLC Residential Care

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

NOVELLA HAVEN LLC RESIDENTIAL CARE

Practice address

7330 SW Trillium Ave
Beaverton, OR 97008-5750

Phone

(202) 867-5579

NPI assigned

Apr 6, 2026

Organization subpart

No

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

Authorized official

Name

Yoseph Yigzaw MekonnenNPI 1043187552

Title

Director

Phone

(202) 867-5579

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yoseph Yigzaw Mekonnen

  • Mental Health Counselor
  • Beaverton, OR
  • NPI 1043187552
  NPD Authorized official

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

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1306788807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 SW TRILLIUM AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970085750",
            "telephone_number": "202-867-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 SW TRILLIUM AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970085750",
            "telephone_number": "202-867-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVELLA HAVEN LLC RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "MEKONNEN",
        "authorized_official_first_name": "YOSEPH",
        "authorized_official_middle_name": "YIGZAW",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "202-867-5579"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lindsey Nowacki, LCSW
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• Mindy Lee Nurmela, MSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.