THE INN, HOME FOR BOYS


Address: 8940 Se 72nd Ave, Portland, OR 97206-9417
Phone: 5037776317

THE INN, HOME FOR BOYS (NPI# 1306288071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306288071
Entity Type Organization
Organization Name THE INN, HOME FOR BOYS
Other Organization Name THE INN
Practice Address 8940 Se 72nd Ave
Portland
OR 97206-9417
Mailing Address 5605 E Burnside St
Portland
OR 97215-1499
Practice Telephone 5037776317
Mailing Telephone 5032348757
Mailing Fax Number 5032348758
Enumeration Date 2013-07-23
Last Update Date 2013-07-23
Authorized Official Name THOMAS J MITCHELL (EXECUTIVE DIRECTOR)
Authorized Official Telephone 5032348757
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children OR Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
The Inn Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names THE INN, HOME FOR BOYS 8940 Se 72nd Ave, Portland, OR 97206

Office Location

Street Address 8940 SE 72ND AVE
City PORTLAND
State OR
Zip Code 97206-9417

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033623368 Thomas Mccormick Social Worker 8940 Se 72nd Ave, Portland, OR 97206-9417 2017-11-22
1235643560 Kalena Karp Social Worker 8940 Se 72nd Ave, Portland, OR 97206-9417 2017-11-22
1740726074 Mike Tassini Social Worker 8940 Se 72nd Ave, Portland, OR 97206-9417 2017-01-10
1821534132 Natalie Wood Social Worker 8940 Se 72nd Ave, Portland, OR 97206-9417 2017-01-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346852365 Amanda Kristine Fredrickson Dietitian, Registered 3611 Se 64th Ave., Portland, OR 97206 2020-08-20
1578108940 Amy Groulx Technician 5506 Se Mitchell St, Portland, OR 97206 2019-11-08
1477061265 Lisa Marie Matejka Naturopath 5235 Se Lambert St, Apt. #b6, Portland, OR 97206 2018-01-16
1639625205 Mollie Kathleen Pence Registered Nurse 2415 43rd Ave, Suite 100, Cascadia Behavioral Healthcare Urgent Walkin Clinic, Portland, OR 97206 2016-09-01
1457709164 Lauren Murdoch Massage Therapist 4629 Southeast Woodstock Boulevard, Portland, OR 97206 2016-06-03
1962897785 Meigra Simon LLC Mechanotherapist 6842 Se Henry St, Portland, OR 97206 2015-03-30
1891186508 Teresa Leckron-myers Case Manager/Care Coordinator 7916 Se Foster Rd, Portland, OR 97206 2015-02-17
1831597590 Boey Yean Lim Acupuncturist 4629 Se Woodstock Blvd, Portland, OR 97206 2014-12-12
1295082329 Chase Heywood Price Acupuncturist 5425 Se Raymond Street, Portland, OR 97206 2012-08-08
1154678423 Annelise Sevastiana Schnase Counselor 4311 Se Woodstock Blvd, Portland, OR 97206 2012-08-06
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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154758266 Youth Guidance Association Residential Treatment Facility, Emotionally Disturbed Children 2730 Ne Flanders St, Portland, OR 97232-3160 2013-10-03
1669666061 Thelissa D Casley Residential Treatment Facility, Emotionally Disturbed Children 4818 Ne 101st Ave, Portland, OR 97220-3319 2007-08-29
1336795905 Amy North Residential Treatment Facility, Emotionally Disturbed Children 11035 Ne Sandy Blvd, Portland, OR 97220-2553 2019-08-09
1710439740 Trillium Family Services Residential Treatment Facility, Emotionally Disturbed Children 3415 Se Powell Blvd, Portland, OR 97202-3371 2016-10-25
1538570551 Trillium Family Service Residential Treatment Facility, Emotionally Disturbed Children 3415 Se Powell Blvd, Portland, OR 97202-3371 2014-05-13
1619395530 Trillium Family Services Residential Treatment Facility, Emotionally Disturbed Children 3415 Se Powell Blvd, Portland, OR 97202-3371 2014-03-29
1154686632 Parry Center for Children Residential Treatment Facility, Emotionally Disturbed Children 3415 Se Powell Blvd, Portland, OR 97202-3371 2012-07-10
1720344450 Morrison Child & Family Services Residential Treatment Facility, Emotionally Disturbed Children 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 2012-04-06
1760766349 Jennifer Garcia Residential Treatment Facility, Emotionally Disturbed Children 9911 Se Mount Scott Blvd, Portland, OR 97266-6302 2011-09-30
1679800197 Albertina Kerr Centers Residential Treatment Facility, Emotionally Disturbed Children 722 Ne 162nd Ave, Portland, OR 97230-5760 2009-11-04
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97206

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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