NPIMap

Organization Active NPI

Nibbus Combined Care LLC Dba New Wave RTH

Doing business as New Wave RTH

  • Mental Illness Community Based Residential Treatment Facility
  • Medford, OR
National Provider Identifier
1689473266
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
NIBBUS COMBINED CARE LLC DBA NEW WAVE RTH
Doing business as
New Wave RTH
Practice address
2240 Terrel Dr
Medford, OR 97501-8140
Phone
(458) 226-5347
NPI assigned
Mar 7, 2025
Organization subpart
Yes
Parent organization
NIBBUS COMBINED CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Brenda Lorean Watson
Title
Executive Director
Phone
(541) 254-0630

Specialties & licenses 1

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

Addresses

Primary practice location

2240 Terrel Dr
Medford, OR 97501-8140

Mailing address

1175 E Main St Ste 2F
Medford, OR 97504-7457
Phone (458) 225-9993

Other names 1

  • New Wave RTH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nibbus Combined Care LLC Dba New Wave RTH7 organizations share this tax ID, including this one
Part of
Nibbus Combined Care LLC Dba New Wave RTH

Other organizations with this tax ID 6

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": "1741305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1689473266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 E MAIN ST STE 2F",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047457",
            "telephone_number": "458-225-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 TERREL DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975018140",
            "telephone_number": "458-226-5347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIBBUS COMBINED CARE LLC DBA NEW WAVE RTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NIBBUS COMBINED CARE LLC",
        "enumeration_date": "2025-03-07",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LOREAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-254-0630"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Wave RTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.