Healthcare Provider Details

I. General information

NPI: 1750246294
Provider Name (Legal Business Name): SECURED HOPE FAMILY HOME LLC 2
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7812 NE 163RD AVE
VANCOUVER WA
98682-1523
US

IV. Provider business mailing address

8502 NE 166TH AVE
VANCOUVER WA
98682-2861
US

V. Phone/Fax

Practice location:
  • Phone: 503-863-8448
  • Fax:
Mailing address:
  • Phone: 503-863-8448
  • Fax: 360-226-7099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: ENDESHAW AREKO
Title or Position: OWNER
Credential:
Phone: 503-863-8448