PRIME CARE HOME
NPI 1730057431
Community Based Residential Treatment Facility, Mental Illness in Gresham, OR
About Prime Care Home NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIME CARE HOME (NPI 1730057431) is a healthcare organization registered as a community based residential treatment facility, mental illness in Gresham, Oregon and active in the NPI registry since October 2025. The organization lists Bezawite M Abegaz, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Prime Care Home's NPI number?
The NPI number for Prime Care Home is 1730057431. It was assigned to this organization in the NPPES registry on October 25, 2025.
Where is Prime Care Home located?
Prime Care Home is located at 135 NW Linneman Ave, Gresham, OR 97030. The listed phone number is (469) 688-9579.
What is Prime Care 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 Prime Care Home was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Prime Care Home · NPI 1730057431
Community Based Residential Treatment Facility, Mental Illness organization in Gresham, Oregon. Organization record, active in the CMS NPPES registry since October 25, 2025.
## Identity
- **NPI:** 1730057431 (Entity type: Organization)
- **Enumerated:** October 25, 2025
- **Primary specialty:** Community Based Residential Treatment Facility, Mental Illness · taxonomy 320800000X
- **Organization subpart:** No
- **Authorized official:** Bezawite Abegaz, DIRECTOR
## Practice location
- **Address:** 135 NW LINNEMAN AVE, Gresham, OR 97030-6248
- **Phone:** (469) 688-9579
## Record status
- **NPPES last updated:** November 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1730057431) · Data from the CMS NPPES public registry.