OrganizationActive
Healthcare LLC.
NPI 1023801768 · Mental Illness Community Based Residential Treatment Facility · Portland, OR
Provider details
- NPI number
- 1023801768
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Dewo Yadeto, Lnha(971) 429-9813
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
459 Se 192nd Ave Apt 502
Portland, OR 97233-5997
Phone: (971) 429-9813
Fax: (971) 429-9813
Street-level locationGet directions
Mailing address
459 Se 192nd Ave Apt 502
Portland, OR 97233-5997
Other names (DBA / former)
- Doing business as
- Healthcare, LLC
Additional practice locations (1)
- 8105 Se 89th Ave # 502Portland, OR 97266-6507Phone: (971) 429-9813
Registry dates
- Enumerated
- 2025-05-26
- Last updated
- 2025-05-31
- Certified
- 2025-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.