Active NPI
Caring Hands Residential Services LLC
- Adult Mental Health Clinic/Center
- Clackamas, OR
National Provider Identifier
1366065872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.