Organization Active NPI

Baymax LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Portland, OR
National Provider Identifier
1699647933
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
BAYMAX LLC
Practice address
2819 NE 155TH Ave
Portland, OR 97230-4492
Phone
(240) 470-2210
NPI assigned
Sep 18, 2025
Last updated
Sep 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Ayantus Tollosa
Title
Owner
Phone
(240) 470-2210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

2819 NE 155TH Ave
Portland, OR 97230-4492

Mailing address

2819 NE 155TH Ave
Portland, OR 97230-4492
Phone (240) 470-2210

Other practice location 1

16841 SE Davidoff Way
Damascus, OR 97089-5801
Phone (240) 470-2210

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1699647933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 NE 155TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972304492",
            "telephone_number": "240-470-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 NE 155TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972304492",
            "telephone_number": "240-470-2210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16841 SE Davidoff Way",
            "address_purpose": "LOCATION",
            "city": "Damascus",
            "state": "OR",
            "postal_code": "970895801",
            "country_code": "US",
            "telephone_number": "240-470-2210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAYMAX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "TOLLOSA",
        "authorized_official_first_name": "AYANTUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-470-2210"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.