PATH LIGHT AGENCY LLC
NPI 1801637756
Community Based Residential Treatment Facility, Mental Illness in Portland, OR

Active since June 04, 2024
526 SE 128TH AVE, PORTLAND, OR 97233(503) 810-7879(971) 339-3946 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 30, 2024, Jun 20, 2024, Jun 4, 2024 (3 updates tracked since 2024).

About Path Light Agency Llc NPPES

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

PATH LIGHT AGENCY LLC (NPI 1801637756) is a healthcare organization registered as a community based residential treatment facility, mental illness in Portland, Oregon and active in the NPI registry since June 2024. The organization lists Elijah N Karanja, Provider, as its authorized official.

NPPES Registry Identity

NPI1801637756
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NamePATH LIGHT AGENCY LLC
Location Address526 SE 128TH AVEPortland, OR 97233-1602
Mailing Address526 Se 128th AvePortland, OR 97233-1602 · (503) 810-7879 · Fax (971) 339-3946
Fax(971) 339-3946
Organization SubpartNo
Authorized OfficialElijah N KaranjaProvider · (503) 810-7879
Enumeration DateJune 4, 2024
Last NPPES UpdateJuly 30, 20243 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
NPI 1801637756 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.
526 SE 128TH AVE, Portland, OR 97233

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Based Residential Treatment Facility, Mental Illness
526 SE 128TH AVE
PORTLAND, OR 97233

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 Path Light Agency LLC's NPI number?

The NPI number for Path Light Agency LLC is 1801637756. It was assigned to this organization in the NPPES registry on June 4, 2024.

Where is Path Light Agency LLC located?

Path Light Agency LLC is located at 526 SE 128th Ave, Portland, OR 97233. The listed phone number is (503) 810-7879.

What is Path Light Agency 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 Path Light Agency LLC was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.