Active NPI
Healing Horizon Residential Treatment Facility LLC
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Clackamas, OR
National Provider Identifier
1679419659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- HEALING HORIZON RESIDENTIAL TREATMENT FACILITY LLC
- Practice address
- 15038 SE Elm Park Dr
Clackamas, OR 97015-5374 - Phone
- (503) 309-5199
- NPI assigned
- Apr 24, 2026
- 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
- Tinsae Abdeta
- Title
- Director
- Phone
- (503) 309-5199
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary |
Addresses
Primary practice location
15038 SE Elm Park Dr
Clackamas, OR 97015-5374
Mailing address
15038 SE Elm Park Dr
Clackamas, OR 97015-5374
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776988800000",
"number": "1679419659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15038 SE ELM PARK DR",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15038 SE ELM PARK DR",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155374",
"telephone_number": "503-309-5199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING HORIZON RESIDENTIAL TREATMENT FACILITY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-24",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A",
"authorized_official_last_name": "ABDETA",
"authorized_official_first_name": "TINSAE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "503-309-5199"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 24, 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.