- Practice location
- 19755 SW Blanton St, Beaverton, OR 97078-1214
- Phone
- 702-292-3628
- Fax
- —
- Last updated
- July 20, 2026
Agape21 Residential Treatment Home is a healthcare organization based in Beaverton, OR. Agape21 Residential Treatment Home practices in Beaverton, OR. The NPI Number for Agape21 Residential Treatment Home is 1063332021. The current practice location address for Agape21 Residential Treatment Home is 19755 SW Blanton St, Beaverton, OR 97078-1214 and can be reached out via phone at 702-292-3628.
Provider Profile Details
- NPI Number
- 1063332021
- Provider Name
- Agape21 Residential Treatment Home
- Provider Entity Type
- Organization
- Address
- 19755 SW Blanton St, Beaverton, OR 97078-1214
- Phone Number
- 702-292-3628
- Primary Taxonomy
- Community Based Residential Treatment Facility, Mental Illness · 320800000X
- Organization Subpart
- No
- Authorized Official
- Yewblike Mekonnen Zerihun · Program Administrator · 702-292-3628
- Provider Enumeration Date
- July 20, 2026
- Last Update Date
- July 20, 2026
- Certification Date
- July 20, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 19755 SW Blanton St
Beaverton, OR 97078-1214 - City
- Beaverton
- State
- Oregon
- Zip
- 97078-1214
- Phone Number
- 702-292-3628
Provider Business Mailing Address Details
- Address
- 19755 SW Blanton St
Beaverton, OR 97078-1214 - City
- Beaverton
- State
- OR
- Zip
- 97078-1214
- Phone Number
- 702-292-3628
License Information
- Taxonomy
- Community Based Residential Treatment Facility, Mental Illness · 320800000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Agape21 Residential Treatment Home?
The NPI number of Agape21 Residential Treatment Home is 1063332021. It was assigned on July 20, 2026 and is currently active in the NPPES registry.
What is the specialty of Agape21 Residential Treatment Home?
Agape21 Residential Treatment Home is registered under the primary taxonomy Community Based Residential Treatment Facility, Mental Illness (code 320800000X).
Where does Agape21 Residential Treatment Home practice?
The practice location is 19755 SW Blanton St, Beaverton, OR 97078-1214. The office can be reached at 702-292-3628 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063332021 directly on the NPPES registry website.