Atd Waves LLC

Primary specialty

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

Legal business name

ATD WAVES LLC

Practice address

1646 SE Wendy Ave
Gresham, OR 97080-6156

Phone

(720) 577-9331

NPI assigned

Oct 30, 2026

Last updated

Oct 30, 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

Sultan Mohamed

Title

Director

Phone

(720) 577-9331

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1793318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793318400000",
    "number": "1497653281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 SE WENDY AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970806156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 SE WENDY AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970806156",
            "telephone_number": "720-577-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATD WAVES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-30",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-30",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "SULTAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "720-577-9331"
    },
    "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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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Gresham, OR
• Providers in Gresham, 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 Oct 30, 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.