Fortunate 24-Hour Residential Services LLC

Primary specialty

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

Legal business name

FORTUNATE 24-HOUR RESIDENTIAL SERVICES LLC

Practice address

7980 SW Greenhouse LN
Portland, OR 97225-3868

Phone

(971) 224-9404

NPI assigned

Jun 20, 2025

Organization subpart

No

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

Authorized official

Name

Tadesse Melka MojoNPI 1316830102

Title

Ceo

Phone

(971) 224-9404

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.

• Tadesse Melka Mojo

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Portland, OR
  • NPI 1316830102

  Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD Authorized official

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

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1356238406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7980 SW GREENHOUSE LN",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972253868",
            "telephone_number": "971-224-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7980 SW GREENHOUSE LN",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972253868",
            "telephone_number": "971-224-9404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7980 SW Greenhouse Ln",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972253868",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FORTUNATE 24-HOUR RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "MOJO",
        "authorized_official_first_name": "TADESSE",
        "authorized_official_middle_name": "MELKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "971-224-9404"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Paul Fortmann, M.D.
• Katherine Simpson Fortmiller, LCSW
• Jeffery Dale Fortner, PHARM.D.
• Camelia Forton
• Katherine Rose Fortuna
• Brad Fortune, OD PHD
• Jane Fortune, M.S.W., L.C.S.W.
• Forza Physical Therapy
• Mitchell T Fosnaugh
• Connie Fosnot

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Portland, OR
• Providers in Portland, 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 Jun 20, 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.