GIFTED SOUL RESIDENTIAL HOME LLC.
NPI 1396604468
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Portland, OR

Q: What is Gifted Soul Residential Home LLC.'s NPI number?

The NPI number for Gifted Soul Residential Home LLC. is 1396604468. It was assigned to this organization in the NPPES registry on January 15, 2026.

Q: What is Gifted Soul Residential Home LLC.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Active since January 15, 2026

1128 SE 141ST AVE, PORTLAND, OR 97233(503) 206-5980(503) 447-4702 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Gifted Soul Residential Home Llc. NPPES

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

GIFTED SOUL RESIDENTIAL HOME LLC. (NPI 1396604468) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Portland, Oregon and active in the NPI registry since January 2026. The organization lists Safawo Yadeto, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1396604468

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameGIFTED SOUL RESIDENTIAL HOME LLC.

Location Address1128 SE 141ST AVEPortland, OR 97233-2218

Mailing Address1128 Se 141st AvePortland, OR 97233-2218 · (503) 206-5980 · Fax (503) 447-4702

Phone(503) 206-5980

Fax(503) 447-4702

Organization SubpartNo

Authorized OfficialSafawo YadetoExecutive Director · (360) 990-5579

Enumeration DateJanuary 15, 2026

NPPES CertifiedJanuary 15, 2026

✔ NPI 1396604468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

1128 SE 141ST AVE, Portland, OR 97233

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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 Gifted Soul Residential Home LLC.'s NPI number?

The NPI number for Gifted Soul Residential Home LLC. is 1396604468. It was assigned to this organization in the NPPES registry on January 15, 2026.

Where is Gifted Soul Residential Home LLC. located?

Gifted Soul Residential Home LLC. is located at 1128 SE 141st Ave, Portland, OR 97233. The listed phone number is (503) 206-5980.

What is Gifted Soul Residential Home LLC.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Gifted Soul Residential Home LLC. was last updated on January 15, 2026. 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.