OrganizationActive
Trust Home Healthcare LLC
NPI 1023356391 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Portland, OR
Provider details
- NPI number
- 1023356391
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jamal Dar, President50344758802
- License
- 46-1831014 (OR)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 46-1831014 (OR)
Residential Treatment Facilities
Practice location
10706 Sw Capitol Hwy Apt 58
Portland, OR 97219-6880
Phone: (503) 475-8802
Approximate (ZIP-level) locationGet directions
Mailing address
10706 Sw Capitol Hwy Apt 58
Portland, OR 97219-6880
Other names (DBA / former)
- Other name
- Home Healthcareagency
Registry dates
- Enumerated
- 2013-01-22
- Last updated
- 2013-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.