OrganizationActive
Novella Haven LLC Residential Care
NPI 1306788807 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Beaverton, OR
Provider details
- NPI number
- 1306788807
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Yoseph Mekonnen, Director(202) 867-5579
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
7330 Sw Trillium Ave
Beaverton, OR 97008-5750
Phone: (202) 867-5579
Approximate (ZIP-level) locationGet directions
Mailing address
7330 Sw Trillium Ave
Beaverton, OR 97008-5750
Registry dates
- Enumerated
- 2026-04-06
- Last updated
- 2026-04-06
- Certified
- 2026-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.