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IMANI RESIDENTIAL TREATMENT HOME
NPI 1417898941
Community Based Residential Treatment Facility, Mental Illness in Beaverton, OR

Active since April 01, 2026
14325 SW WILSON DR, BEAVERTON, OR 97008(971) 357-1234 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Imani Residential Treatment Home NPPES

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

IMANI RESIDENTIAL TREATMENT HOME (NPI 1417898941) is a healthcare organization registered as a community based residential treatment facility, mental illness in Beaverton, Oregon and active in the NPI registry since April 2026. The organization lists Susan Mbugua, Adminstrator, as its authorized official.

NPPES Registry Identity

NPI1417898941
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameIMANI RESIDENTIAL TREATMENT HOME
Location Address14325 SW WILSON DRBeaverton, OR 97008-6140
Mailing Address14325 Sw Wilson DrBeaverton, OR 97008-6140 · (971) 357-1234
Phone(971) 357-1234
Organization SubpartYesParent: Imani Mental Health And Wellness Llc
Authorized OfficialSusan MbuguaAdminstrator · (214) 458-1713
Enumeration DateApril 1, 2026
NPPES CertifiedApril 1, 2026
✔ NPI 1417898941 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.
14325 SW WILSON DR, Beaverton, OR 97008
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Other Names 1

Doing Business AsImani Residential Treatment Home

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 Imani Residential Treatment Home's NPI number?

The NPI number for Imani Residential Treatment Home is 1417898941. It was assigned to this organization in the NPPES registry on April 1, 2026.

Where is Imani Residential Treatment Home located?

Imani Residential Treatment Home is located at 14325 SW Wilson Dr, Beaverton, OR 97008. The listed phone number is (971) 357-1234.

What is Imani 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 Imani Residential Treatment Home was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.