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Active NPI 1861224511 Organization (Entity Type 2)

Serenity Care

Psychiatric Residential Treatment Facility • Gresham, OR

About Serenity Care NPI 1861224511 Summary

Serenity Care is a verified healthcare organization specializing in Psychiatric Residential Treatment Facility operating in Gresham, OR. Located at 135 NW LINNEMAN AVE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1861224511.

Administrative operations and authorized compliance are overseen by Ronald Nkusi (President).

The facility is associated with 2 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

135 Nw Linneman Ave

Gresham, OR 970306248

Telephone 4694554874

Authorized Official Information

Authorized Contact Name

MR. Ronald Nkusi

Title / Role

President

Official Telephone

4694554874

Facility Classifications & Specialties

Psychiatric Residential Treatment Facility Primary Taxonomy

NUCC Taxonomy Code: 323P00000X

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

2 Linked
Bezawite Abegaz , RN NPI 1588543219

Registered Nurse

Gresham, OR

View Practitioner Profile →
Deffo Mebrat NPI 1932522166

Registered Nurse

Gresham, OR

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active August 20, 2024

NPI status registered as active in NPPES database

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Updated Practice Location August 20, 2024

Registered at 135 NW LINNEMAN AVE, GRESHAM, OR 970306248 (Tel: 4694554874)

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Updated Business Mailing Address August 20, 2024

Registered at 135 NW LINNEMAN AVE, GRESHAM, OR 970306248 (Tel: 4694554874)

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Organization / Clinic Name Updated August 20, 2024

Operating as SERENITY CARE

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2024

Psychiatric Residential Treatment Facility

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Initial NPI Registration & Enumeration August 20, 2024

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1861224511
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: August 20, 2024
Last Update: August 20, 2024

Mailing Address

135 Nw Linneman Ave

Gresham, OR 970306248

Phone: 4694554874

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.