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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

TY RESIDENTIAL WELLNESS LLC
NPI 1952223729
Community Based Residential Treatment Facility, Mental Illness in Gresham, OR

Active since July 27, 2026
1211 SE 212TH AVE, GRESHAM, OR 97030(503) 841-0801 Get Directions Write a Review

NPPES record added: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ty Residential Wellness Llc NPPES

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

TY RESIDENTIAL WELLNESS LLC (NPI 1952223729) is a healthcare organization registered as a community based residential treatment facility, mental illness in Gresham, Oregon and active in the NPI registry since July 2026. The organization lists Tewabech Taddese Teka, Owner / Program Administrator, as its authorized official.

NPPES Registry Identity

NPI1952223729
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameTY RESIDENTIAL WELLNESS LLC
Location Address1211 SE 212TH AVEGresham, OR 97030-3452
Mailing Address15577 Se Bollam DrClackamas, OR 97015-6653 · (503) 841-0801
Phone(503) 841-0801
Organization SubpartNo
Authorized OfficialTewabech Taddese TekaOwner / Program Administrator · (503) 841-0801
Enumeration DateJuly 27, 2026
NPPES CertifiedJuly 26, 2026
✔ NPI 1952223729 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.
1211 SE 212TH AVE, Gresham, OR 97030
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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 Ty Residential Wellness LLC's NPI number?

The NPI number for Ty Residential Wellness LLC is 1952223729. It was assigned to this organization in the NPPES registry on July 27, 2026.

Where is Ty Residential Wellness LLC located?

Ty Residential Wellness LLC is located at 1211 SE 212th Ave, Gresham, OR 97030. The listed phone number is (503) 841-0801.

What is Ty Residential Wellness 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 Ty Residential Wellness LLC was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.