BEACON RECOVERY RESIDENCE NPI 1942177464

NPI Information

  • NPI: 1942177464
  • Provider Name: BEACON RECOVERY RESIDENCE
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Address: 3155 SW 199TH TER
    ALOHA, OR
    ZIP 97003
  • Phone: (503) 649-7010

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NPI Details

BEACON RECOVERY RESIDENCE is a community based residential treatment facility mental illness in Aloha, OR. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. BEACON RECOVERY RESIDENCE NPI is 1942177464. The provider is registered as an organization entity type.

The provider's business location address is:

3155 SW 199TH TER
ALOHA, OR
ZIP 97003-672
Phone: (503) 649-7010

The provider's authorized official is Million Gebremeskel .
The authorized official title is Program Administrator and has the following contact phone number (503) 984-3376.

The enumeration date for this NPI number is 10/20/2025 and was last updated on 10/20/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1323P00000XPsychiatric Residential Treatment FacilityNo
2251S00000XCommunity/Behavioral HealthNo
33104A0625XAssisted Living FacilityAssisted Living, Mental IllnessNo
4320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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