FDS ALLIANCE RESIDENTIAL LLC
NPI 1407707805
Community Based Residential Treatment Facility, Mental Illness in Portland, OR

Active since February 03, 2026
380 NE 178TH AVE, PORTLAND, OR 97230(971) 431-6436 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fds Alliance Residential Llc NPPES

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

FDS ALLIANCE RESIDENTIAL LLC (NPI 1407707805) is a healthcare organization registered as a community based residential treatment facility, mental illness in Portland, Oregon and active in the NPI registry since February 2026. The organization lists Gemechis Abdissa, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1407707805
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameFDS ALLIANCE RESIDENTIAL LLC
Location Address380 NE 178TH AVEPortland, OR 97230-6658
Mailing Address380 Ne 178th AvePortland, OR 97230-6658 · (971) 431-6436
Organization SubpartNo
Authorized OfficialGemechis AbdissaManaging Member · (971) 431-6436
Enumeration DateFebruary 3, 2026
NPPES CertifiedFebruary 3, 2026
NPI 1407707805 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.
380 NE 178TH AVE, Portland, OR 97230

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 Fds Alliance Residential LLC's NPI number?

The NPI number for Fds Alliance Residential LLC is 1407707805. It was assigned to this organization in the NPPES registry on February 3, 2026.

Where is Fds Alliance Residential LLC located?

Fds Alliance Residential LLC is located at 380 NE 178th Ave, Portland, OR 97230. The listed phone number is (971) 431-6436.

What is Fds Alliance 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 Fds Alliance Residential LLC was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.