Organization Active NPI

Alpha Group Home LLC

  • Community/Behavioral Health Agency
  • Portland, OR
National Provider Identifier
1891632352
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ALPHA GROUP HOME LLC
Practice address
15515 SE Francis St # 97236
Portland, OR 97236-2256
Phone
(202) 867-5579
NPI assigned
May 1, 2026
Last updated
May 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Yoseph MekonnenNPI 1043187552
Title
Manager
Phone
(202) 867-5579

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

15515 SE Francis St # 97236
Portland, OR 97236-2256

Mailing address

15515 SE Francis St
Portland, OR 97236-2256
Phone (202) 867-5579

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1777593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1891632352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15515 SE FRANCIS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972362256",
            "telephone_number": "202-867-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15515 SE FRANCIS ST # 97236",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972362256",
            "telephone_number": "202-867-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-01",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "MEKONNEN",
        "authorized_official_first_name": "YOSEPH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "202-867-5579"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 May 1, 2026; 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.