AETERNUM CARE LLC
NPI 1770392870
Community Based Residential Treatment Facility, Mental Illness in Hillsboro, OR
NPI Status: Active since January 03, 2025
Contact Information
613 SE 32ND AVE
HILLSBORO, OR
ZIP 97123
Phone: (458) 262-4514
- Organization
- Community Based Residential Treatment Fa...
About AETERNUM CARE LLC
This page provides the complete NPI Profile along with additional information for Aeternum Care Llc, a provider established in Hillsboro, Oregon operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1770392870 assigned on January 2025. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Wilson Paul Kisambira (Director)
- NPI
- 1770392870
- Provider Name
- AETERNUM CARE LLC
- Entity Type
- Organization
- Location Address
- 613 SE 32ND AVE HILLSBORO, OR 97123
- Location Phone
- (458) 262-4514
- Mailing Address
- 613 SE 32ND AVE HILLSBORO, OR 97123
- Mailing Phone
- (458) 262-4514
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-03-2025
- Last Update Date
- 01-03-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 174200000X | Other Service Providers | Meals | |
| 2 | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 3 | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 4 | 323P00000X | Residential Treatment Facilities | Psychiatric Residential Treatment Facility |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 7 | 0 | 3 | 9 | 2 | 8 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 6 | 9 | 4 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 6 + 9 + 4 + 8 + 1 + 4 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1770392870 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770392870, enumerated in the NPI registry as an "organization" on January 03, 2025
The provider is located at 613 Se 32nd Ave Hillsboro, Or 97123 and the phone number is (458) 262-4514
This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X
This NPI record was last updated on January 03, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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