NPI 1306788807

Novella Haven LLC Residential Care

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Beaverton, OR

Practice location

Address: 7330 SW Trillium Ave, Beaverton, OR 97008-5750
Phone: (202) 867-5579

Authorised official

Name: Yoseph Yigzaw Mekonnen
Title: Director
Phone: (202) 867-5579

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Oregon →

Registry record

NPI: 1306788807
Entity type: Organization
NPI issued: 6 Apr 2026
Record last updated: 6 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.