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EVERGREEN JOY
NPI 1891612388
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Gladstone, OR

Active since July 04, 2026
17275 CHAROLAIS WAY, GLADSTONE, OR 97027(602) 410-0159 Get Directions Write a Review

NPPES record last updated: July 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Joy NPPES

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

EVERGREEN JOY (NPI 1891612388) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Gladstone, Oregon and active in the NPI registry since July 2026. The organization lists Gurmessa Jotie, Director, as its authorized official.

NPPES Registry Identity

NPI1891612388
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameEVERGREEN JOY
Location Address17275 CHAROLAIS WAYGladstone, OR 97027-1269
Mailing Address17275 Charolais WayGladstone, OR 97027-1269
Phone(602) 410-0159
Organization SubpartNo
Authorized OfficialGurmessa JotieDirector · (602) 410-0159
Enumeration DateJuly 4, 2026
NPPES CertifiedJuly 4, 2026
✔ NPI 1891612388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
17275 CHAROLAIS WAY, Gladstone, OR 97027
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Other Providers at the Same Location NPPES

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

OPEN ARMS PDX LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
17275 CHAROLAIS WAY
GLADSTONE, OR 97027
Clackamas County (425) 524-2492

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 Evergreen Joy's NPI number?

The NPI number for Evergreen Joy is 1891612388. It was assigned to this organization in the NPPES registry on July 4, 2026.

Where is Evergreen Joy located?

Evergreen Joy is located at 17275 Charolais Way, Gladstone, OR 97027. The listed phone number is (602) 410-0159.

What is Evergreen Joy's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Evergreen Joy was last updated on July 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.