CHRISTINA ELLIS DBA: PARADISE ADULT FOSTER CARE HOME – NPI #1720349251
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

CHRISTINA ELLIS DBA: PARADISE ADULT FOSTER CARE HOME is a community based residential treatment facility located in PORTLAND, OR. NPPES has assigned the NPI number 1720349251 to CHRISTINA ELLIS DBA: PARADISE ADULT FOSTER CARE HOME on May 31, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHRISTINA ELLIS DBA: PARADISE ADULT FOSTER CARE HOME below.

NPI Profile for
CHRISTINA ELLIS DBA: PARADISE ADULT FOSTER CARE HOME

NPI Number
1720349251
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHRISTINA ELLIS DBA: PARADISE ADULT FOSTER CARE HOME
Primary location
1356 SE 172ND AVE
PORTLAND, OR 97233-4702
Phone: (503) 760-8052 Fax: (503) 760-8052
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHRISTINA ELLIS-LITTLE
OWNER/OPERATOR
Phone: (503) 760-8052
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)
OR 10714

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.