NPIMap

Organization Active NPI

Elderly and Disabled Services

  • Mental Illness Community Based Residential Treatment Facility
  • Beaverton, OR
National Provider Identifier
1831878776
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
ELDERLY AND DISABLED SERVICES
Practice address
19536 SW Stacey St
Beaverton, OR 97003-2521
Phone
(541) 261-1991
NPI assigned
Jul 17, 2023
Organization subpart
Yes
Parent organization
ELDERLY AND DISABLED SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Larry Michael McPhee
Title
Owner
Phone
(541) 261-1991

Specialties & licenses 1

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

Addresses

Primary practice location

19536 SW Stacey St
Beaverton, OR 97003-2521

Mailing address

3126 State St Ste 100
Medford, OR 97504-8665
Phone (541) 261-1991

Other names 1

  • Restoration Home Stacey RTH Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.elderlyanddisabledservices.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Elderly and Disabled Services7 organizations share this tax ID, including this one
Part of
Elderly and Disabled Services

Other organizations with this tax ID 6

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

Locations

3126 State St
Ste 100
Medford, OR 97504
Phone (458) 225-9358

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1831878776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 STATE ST STE 100",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048665",
            "telephone_number": "541-261-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19536 SW STACEY ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970032521",
            "telephone_number": "541-261-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERLY AND DISABLED SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELDERLY AND DISABLED SERVICES",
        "enumeration_date": "2023-07-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "MCPHEE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-261-1991"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.elderlyanddisabledservices.com",
            "affiliation": "N",
            "endpointDescription": "Web address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "19536 SW Stacey St",
            "city": "Beaverton",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970032521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Restoration Home Stacey RTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Restoration Home Stacey RTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.