AETERNUM CARE LLC – NPI #1770392870
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.

AETERNUM CARE LLC is a community based residential treatment facility located in HILLSBORO, OR. NPPES has assigned the NPI number 1770392870 to AETERNUM CARE LLC on January 03, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AETERNUM CARE LLC below.

NPI Profile for
AETERNUM CARE LLC

NPI Number
1770392870
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AETERNUM CARE LLC
Other name(s)
All associated names:
Doing Business As (dba)
AETERNUM CARE LLC
Doing Business As (dba)
Carebridge
Primary location
613 SE 32ND AVE
HILLSBORO, OR 97123-7311
Phone: (458) 262-4514 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WILSON KISAMBIRA
DIRECTOR
Phone: (781) 309-8976
Updated
Certification Date
Jan 03, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.