Willamette Wellness Home Care LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

WILLAMETTE WELLNESS HOME CARE LLC

Practice address

13700 SW 114TH Ave
Tigard, OR 97223-3773

Phone

(503) 928-0598

NPI assigned

Jul 22, 2025

Organization subpart

No

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

Authorized official

Name

Nzitonda Nsengiyumva

Title

Organizer

Phone

(503) 928-0598

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1912889809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 SW 114TH AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972233773",
            "telephone_number": "503-928-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 SW 114TH AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972233773",
            "telephone_number": "503-928-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE WELLNESS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "NSENGIYUMVA",
        "authorized_official_first_name": "NZITONDA",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "503-928-0598"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brielle Madeline Wiener, BS
• Joanna Louise Wilder, APRN-NP, CNM, CPM
• Jaclyn P Wiley
• Latori Rose Marie Wilkerson
• Willamette Medical Labs, Inc.
• Bryce Rustin Willcox, DMD, MS
• Amanda Williams
• Brianna Williams
• Chantia Shyannne Williams
• Cornelius Vann Williams

• Mental Illness Community Based Residential Treatment Facility in Tigard, OR
• Providers in Tigard, 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 Sep 16, 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.