National Provider Identifier Database

INDEPENCARE LLC
Lodging

A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.


Contact Information

INDEPENCARE LLC
9123 SE SAINT HELENS ST STE 100F
CLACKAMAS, OR97015-6800
Phone: 503-740-6449
Fax:
Website:
Specialty Taxonomy Code
* Lodging 177F00000X
Case Management 251B00000X
Community Health Worker 172V00000X
Home Delivered Meals 332U00000X
Meals 174200000X
Medical Foods Supplier 335G00000X

* Indicates primary specialty

NPI Profile & details for INDEPENCARE LLC

NPI Number 1366266611
Legal business name
LBN
INDEPENCARE LLC
Authorized official PAUL KRUMMENACKER - (COO)
Entity Organization
Organization subpart No
Enumeration date 11/13/2024
Last updated 01/12/2025 - More than a year 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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