Address: 2055 Sw 79th Ave, Portland, OR 97225-3805
Phone: 2063063730

BASETI GELGELU (NPI# 1801403910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801403910
Entity Type Individual
Practice Address 2055 Sw 79th Ave
OR 97225-3805
Practice Telephone 2063063730
Mailing Telephone 2063063730
Enumeration Date 2020-09-23
Last Update Date 2020-09-23
Gender Code F
Is Sole Proprietor Y


Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
525603 OR Nursing & Custodial Care Facilities

Office Location

Street Address 2055 SW 79TH AVE
State OR
Zip Code 97225-3805

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508425034 Gabrielle Gonzales Behavior Technician 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 2019-06-08
1558844555 Tate Roseberry Behavior Technician 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 2018-09-14
1982186300 Dean Alan Hopkins Registered Nurse 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 2018-09-01
1316449168 Surgery Center At St. Vincent, LLC Clinic/Center 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 2018-03-07
1730606716 Meghan Louise Lacy Pediatrics 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 2017-08-29
1841733433 Tia Pugh Occupational Therapist 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 2016-11-30
1295185585 Stephanie Lynn Hart Nurse Practitioner 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 2016-06-16
1962866244 Bejian Shamloo Chiropractor 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 2016-04-12
1992162630 Robert Joseph Yoder Psychologist 9045 Barnes Rd, Portland, OR 97225 2016-01-26
1316303951 Katie Herold Chiropractor 9315 Sw Morrison St, Portland, OR 97225 2016-01-12
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Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801402946 Demeti Gelgelu Custodial Care Facility 2010 Sw 79th Ave, Portland, OR 97225-3806 2020-09-22
1386122687 Diana Elizabeth Gwinn Custodial Care Facility 16405 Ne Fargo Cir, Portland, OR 97230-5513 2018-07-30
1306212295 Amer Filipovic Custodial Care Facility 2708 Se 111th Ave, Portland, OR 97266-1106 2015-08-14
1740410356 Paradise Adult Foster Care Incorporated Custodial Care Facility 1356 Se 172nd Ave, Portland, OR 97233-4702 2009-07-16
1013153659 Ileana Kerezsi Custodial Care Facility 3519 Se Cora Dr, Portland, OR 97202-3332 2009-01-04
1639291131 Casa, Inc Custodial Care Facility 741 Warren Ave, Portland, ME 04103-1007 2007-04-04
1295043982 Lifeworks Northwest Custodial Care Facility 14600 Nw Cornell Rd, Portland, OR 97229-5442 2010-09-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447808100 Remelita Loftin Custodial Care Facility 2297 Minnesota St, Eugene, OR 97402-6244 2019-08-27
1316506397 Stephenie Jo Murdock Custodial Care Facility 2355 Baker St, Baker City, OR 97814-2541 2019-06-12
1346707296 Dastu I Ahmat Custodial Care Facility 55 Nw 23rd St, Gresham, OR 97030-2640 2019-02-27
1558837781 Larisa Kravchuk Custodial Care Facility 805 Fir Cone Dr Ne, Keizer, OR 97303-4328 2018-10-15
1376071464 Mckenzie Living, Incorporated Custodial Care Facility 2621 Lone Oak Way, Eugene, OR 97404 2017-06-01
1598292997 Gateway Assisted Living, Inc. Custodial Care Facility 611 N Cloverleaf Loop, Springfield, OR 97477-1188 2017-05-16
1841727617 Gateway Gardens Assisted Living, Inc. Custodial Care Facility 178 Commons Dr, Eugene, OR 97401-8923 2017-05-11
1609314509 Catherine Jensens Foster Home Custodial Care Facility 108 Ash Drive, Rogue River, OR 97537 2017-02-10
1932647211 Lynn Marie Bartlett Custodial Care Facility 4286 Camellia Dr S, Salem, OR 97302-2710 2017-02-07
1568906477 Radiant Care Afh 'Llc' Custodial Care Facility 52 Nw Birch Ct, Warrenton, OR 97146 2016-12-12
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Search similar providers

Zip Code 97225

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.