Christina Ellis Dba: Paradise Adult Foster Care Home

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

10714 Issued in OR

Legal business name

CHRISTINA ELLIS DBA: PARADISE ADULT FOSTER CARE HOME

Practice address

1356 SE 172ND Ave
Portland, OR 97233-4702

Phone

(503) 760-8052

Fax

(503) 760-8052

NPI assigned

May 31, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Christina Marie Ellis-Little

Title

Owner/Operator

Phone

(503) 760-8052

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1720349251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 SE 172ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972334702",
            "telephone_number": "503-760-8052",
            "fax_number": "503-760-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 SE 172ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972334702",
            "telephone_number": "503-760-8052",
            "fax_number": "503-760-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINA ELLIS DBA: PARADISE ADULT FOSTER CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "ELLIS-LITTLE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "503-760-8052",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OR",
            "license": "10714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten A Christianson, CRNA
• Leslie James Christianson, DO
• Penelope Christianson, MDIV PSYD
• Ryan Christianson
• Catherine Christie, MD
• Christina W Enticknap, LPC, LLC
• Christine Brown DMD, LLC
• Christine R Gebhardt OD LLC
• Christine S Liu DMD PC
• Dayna R Christison, RN

• Mental Illness Community Based Residential Treatment Facility in Portland, OR
• Providers in Portland, OR by specialty
• Mental Illness Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.