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AGAPE21 RESIDENTIAL TREATMENT HOME
NPI 1063332021
Community Based Residential Treatment Facility, Mental Illness in Beaverton, OR

Active since July 20, 2026
19755 SW BLANTON ST, BEAVERTON, OR 97078(702) 292-3628 Get Directions Write a Review

NPPES record added: July 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Agape21 Residential Treatment Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGAPE21 RESIDENTIAL TREATMENT HOME (NPI 1063332021) is a healthcare organization registered as a community based residential treatment facility, mental illness in Beaverton, Oregon and active in the NPI registry since July 2026. The organization lists Yewblike Mekonnen Zerihun, Program Administrator, as its authorized official.

NPPES Registry Identity

NPI1063332021
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameAGAPE21 RESIDENTIAL TREATMENT HOME
Location Address19755 SW BLANTON STBeaverton, OR 97078-1214
Mailing Address19755 Sw Blanton StBeaverton, OR 97078-1214 · (702) 292-3628
Phone(702) 292-3628
Organization SubpartNo
Authorized OfficialYewblike Mekonnen ZerihunProgram Administrator · (702) 292-3628
Enumeration DateJuly 20, 2026
NPPES CertifiedJuly 20, 2026
✔ NPI 1063332021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

19755 SW BLANTON ST, Beaverton, OR 97078
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Agape21 Residential Treatment Home's NPI number?

The NPI number for Agape21 Residential Treatment Home is 1063332021. It was assigned to this organization in the NPPES registry on July 20, 2026.

Where is Agape21 Residential Treatment Home located?

Agape21 Residential Treatment Home is located at 19755 SW Blanton St, Beaverton, OR 97078. The listed phone number is (702) 292-3628.

What is Agape21 Residential Treatment Home's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Agape21 Residential Treatment Home was last updated on July 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.