Active NPI
Baymax LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Portland, OR
National Provider Identifier
1699647933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- 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, 2025
- 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
- Ayantus Tollosa
- Title
- Owner
- Phone
- (240) 470-2210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.