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KANEWOOD RESIDENTIAL LLC
NPI 1114850245
Community Based Residential Treatment Facility, Mental Illness in Gresham, OR

Active since June 08, 2026
425 SE KANE DR, GRESHAM, OR 97080(503) 927-9202(503) 927-9202 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kanewood Residential Llc NPPES

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

KANEWOOD RESIDENTIAL LLC (NPI 1114850245) is a healthcare organization registered as a community based residential treatment facility, mental illness in Gresham, Oregon and active in the NPI registry since June 2026. The organization lists Alazar Kassa, Administrator, as its authorized official.

NPPES Registry Identity

NPI1114850245
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameKANEWOOD RESIDENTIAL LLC
Location Address425 SE KANE DRGresham, OR 97080-1628
Mailing Address425 Se Kane DrGresham, OR 97080-1628 · (503) 927-9202 · Fax (503) 927-9202
Phone(503) 927-9202
Fax(503) 927-9202
Organization SubpartNo
Authorized OfficialAlazar KassaAdministrator · (503) 927-9202
Enumeration DateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1114850245 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.

425 SE KANE DR, Gresham, OR 97080
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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 Kanewood Residential LLC's NPI number?

The NPI number for Kanewood Residential LLC is 1114850245. It was assigned to this organization in the NPPES registry on June 8, 2026.

Where is Kanewood Residential LLC located?

Kanewood Residential LLC is located at 425 SE Kane Dr, Gresham, OR 97080. The listed phone number is (503) 927-9202.

What is Kanewood Residential LLC'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 Kanewood Residential LLC was last updated on June 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.