Healthcare Provider Details

I. General information

NPI: 1194536219
Provider Name (Legal Business Name): DANI CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2025
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1731 SW WILLOWBROOK PL
GRESHAM OR
97080-9646
US

IV. Provider business mailing address

1731 SW WILLOWBROOK PL
GRESHAM OR
97080-9646
US

V. Phone/Fax

Practice location:
  • Phone: 503-419-8606
  • Fax:
Mailing address:
  • Phone: 503-419-8606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: DANIEL ZEWELDE
Title or Position: PROGRAM ADMINISTRATOR
Credential: BSN, RN
Phone: 503-419-8606