Organization Active NPI

Caring Hands Residential Services LLC

  • Adult Mental Health Clinic/Center
  • Clackamas, OR
National Provider Identifier
1366065872
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CARING HANDS RESIDENTIAL SERVICES LLC
Practice address
16220 SE McKinley Ave
Clackamas, OR 97015-9418
Phone
(612) 226-1094
Fax
(503) 908-0103
NPI assigned
May 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Authorized official

Name
Chaltu Legesse Bakuto
Title
Director
Phone
(612) 226-1094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

16220 SE McKinley Ave
Clackamas, OR 97015-9418

Mailing address

2256 SE Park Ave
Milwaukie, OR 97222-7999
Phone (612) 226-1094

Other practice location 1

2256 SE Park Ave
Milwaukie, OR 97222-7999
Phone (612) 226-1094

Other names 1

  • Caring Hands Residential Services LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1366065872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2256 SE PARK AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227999",
            "telephone_number": "612-226-1094",
            "fax_number": "503-908-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16220 SE MCKINLEY AVE",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159418",
            "telephone_number": "612-226-1094",
            "fax_number": "503-908-0103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2256 SE Park Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukie",
            "state": "OR",
            "postal_code": "972227999",
            "country_code": "US",
            "telephone_number": "612-226-1094",
            "fax_number": "503-908-0103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARING HANDS RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "BAKUTO",
        "authorized_official_first_name": "CHALTU",
        "authorized_official_middle_name": "LEGESSE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-226-1094"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caring Hands Residential Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.