NPIMap

Organization Active NPI

Zenith House

  • Mental Illness Community Based Residential Treatment Facility
  • Tigard, OR
National Provider Identifier
1689011595
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
200027 Issued in OR
Legal business name
ZENITH HOUSE
Practice address
8303 SW Locust St
Tigard, OR 97223-8816
Phone
(503) 645-3581
Fax
(503) 533-0152
NPI assigned
May 31, 2013
Organization subpart
Yes
Parent organization
LIFEWORKS NORTHWESTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Diane Lacy
Title
Billing Manager
Phone
(503) 645-3581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 200027 OR Primary

Addresses

Primary practice location

8303 SW Locust St
Tigard, OR 97223-8816

Mailing address

5415 SW Westgate Dr
Portland, OR 97221-2409
Phone (503) 645-3581

National Provider Directory

National Provider Directory
Tax ID family
Tualatin Vly MNTL HLTH6 organizations share this tax ID, including this one
Part of
Tualatin Vly MNTL HLTH

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1689011595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 SW WESTGATE DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212409",
            "telephone_number": "503-645-3581",
            "fax_number": "503-629-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 SW LOCUST ST",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238816",
            "telephone_number": "503-645-3581",
            "fax_number": "503-533-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZENITH HOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFEWORKS NORTHWEST",
        "enumeration_date": "2013-05-31",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "LACY",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "503-645-3581"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OR",
            "license": "200027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.