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DAVE 24HR RESIDENTIAL LLC
NPI 1174487813
Custodial Care Facility - Adult Care Home in Portland, OR

Active since December 15, 2025
11863 E BURNSIDE ST, PORTLAND, OR 97216(971) 393-6460 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dave 24hr Residential Llc NPPES

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

DAVE 24HR RESIDENTIAL LLC (NPI 1174487813) is a healthcare organization registered as an adult care home in Portland, Oregon and active in the NPI registry since December 2025. The organization lists Dawit Berisso, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1174487813
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameDAVE 24HR RESIDENTIAL LLC
Location Address11863 E BURNSIDE STPortland, OR 97216-3731
Mailing Address11863 E Burnside StPortland, OR 97216-3731
Phone(971) 393-6460
Organization SubpartNo
Authorized OfficialDawit BerissoExecutive Director · (971) 393-6460
Enumeration DateDecember 15, 2025
NPPES CertifiedDecember 15, 2025
✔ NPI 1174487813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
11863 E BURNSIDE ST, Portland, OR 97216
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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 Dave 24hr Residential LLC's NPI number?

The NPI number for Dave 24hr Residential LLC is 1174487813. It was assigned to this organization in the NPPES registry on December 15, 2025.

Where is Dave 24hr Residential LLC located?

Dave 24hr Residential LLC is located at 11863 E Burnside St, Portland, OR 97216. The listed phone number is (971) 393-6460.

What is Dave 24hr Residential LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Dave 24hr Residential LLC was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.