CALM HAVEN PDX LLC
NPI 1841000767
Psychiatric Residential Treatment Facility in Portland, OR

Active since January 13, 2025
711 NE 172ND AVE, PORTLAND, OR 97230(458) 262-4514 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Calm Haven Pdx Llc NPPES

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

CALM HAVEN PDX LLC (NPI 1841000767) is a healthcare organization registered as a psychiatric residential treatment facility in Portland, Oregon and active in the NPI registry since January 2025. The organization lists Wilson Kisambira Kisambira, Manager, as its authorized official.

NPPES Registry Identity

NPI1841000767
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameCALM HAVEN PDX LLC
Location Address711 NE 172ND AVEPortland, OR 97230-6420
Mailing Address711 Ne 172nd AvePortland, OR 97230-6420
Organization SubpartNo
Authorized OfficialWilson Kisambira KisambiraManager · (781) 309-8976
Enumeration DateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
NPI 1841000767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
711 NE 172ND 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 Calm Haven Pdx LLC's NPI number?

The NPI number for Calm Haven Pdx LLC is 1841000767. It was assigned to this organization in the NPPES registry on January 13, 2025.

Where is Calm Haven Pdx LLC located?

Calm Haven Pdx LLC is located at 711 NE 172nd Ave, Portland, OR 97230. The listed phone number is (458) 262-4514.

What is Calm Haven Pdx LLC's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

When was this NPI record last updated?

The NPPES record for Calm Haven Pdx LLC was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.