OrganizationActive
Gifted Soul Residential Home LLC.
NPI 1396604468 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Portland, OR
Provider details
- NPI number
- 1396604468
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Safawo Yadeto, Executive Director(360) 990-5579
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
1128 Se 141st Ave
Portland, OR 97233-2218
Phone: (503) 206-5980
Fax: (503) 447-4702
Street-level locationGet directions
Mailing address
1128 Se 141st Ave
Portland, OR 97233-2218
Registry dates
- Enumerated
- 2026-01-15
- Last updated
- 2026-01-15
- Certified
- 2026-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.