Provider Demographics
NPI:1366065872
Name:CARING HANDS RESIDENTIAL SERVICES LLC
Entity type:Organization
Organization Name:CARING HANDS RESIDENTIAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHALTU
Authorized Official - Middle Name:LEGESSE
Authorized Official - Last Name:BAKUTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-226-1094
Mailing Address - Street 1:2256 SE PARK AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97222-7999
Mailing Address - Country:US
Mailing Address - Phone:612-226-1094
Mailing Address - Fax:503-908-0103
Practice Address - Street 1:16220 SE MCKINLEY AVE
Practice Address - Street 2:
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-9418
Practice Address - Country:US
Practice Address - Phone:612-226-1094
Practice Address - Fax:503-908-0103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-19
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health