National Provider Identifier Database

EMERALD RESIDENTIAL LLC
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.


Contact Information

EMERALD RESIDENTIAL LLC
11940 SE BUSH ST
PORTLAND, OR97266-2140
Phone: 615-423-8136
Fax:
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facility, Physical Disabilities 320700000X

* Indicates primary specialty

NPI Profile & details for EMERALD RESIDENTIAL LLC

NPI Number 1437025384
Legal business name
LBN
EMERALD RESIDENTIAL LLC
Authorized official BEKRY SEMENS - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 10/16/2025
Last updated 10/16/2025 - About 8 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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