NPIMap

Organization Active NPI

Stults House

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Portland, OR
National Provider Identifier
1780043802
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
STULTS HOUSE
Practice address
805 SE 151St Ave
Portland, OR 97233-2916
Phone
(971) 271-7270
NPI assigned
Feb 17, 2016
Organization subpart
Yes
Parent organization
TELECARE MENTAL HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Amy Lugo
Title
HR Coordinator
Phone
(503) 666-6575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

805 SE 151St Ave
Portland, OR 97233-2916

Mailing address

805 SE 151St Ave
Portland, OR 97233-2916
Phone (971) 271-7270

National Provider Directory

National Provider Directory
Tax ID family
Telecare Mental Health Services of Oregon Inc18 organizations share this tax ID, including this one
Part of
Telecare Mental Health Services of Oregon Inc

Other organizations with this tax ID 17

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

View all 17

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1780043802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SE 151ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972332916",
            "telephone_number": "971-271-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SE 151ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972332916",
            "telephone_number": "971-271-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STULTS HOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TELECARE MENTAL HEALTH SERVICES",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "LUGO",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "HR COORDINATOR",
        "authorized_official_telephone_number": "503-666-6575"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "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 Feb 17, 2016; 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.