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Contact Information

INDEPENCARE LLC
9123 SE SAINT HELENS ST STE 100F
CLACKAMAS, OR97015-6800
 Phone: 503-740-6449
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Lodging

177F00000X
 

Case Management

251B00000X
 

Community Health Worker

172V00000X
 

Home Delivered Meals

332U00000X 87 All Other Suppliers
 

Meals

174200000X
 

Medical Foods Supplier

335G00000X
Indicates primary specialty

NPI Profile & details for INDEPENCARE LLC

NPI # 1366266611
LBN Legal business name INDEPENCARE LLC
Authorized official PAUL KRUMMENACKER - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/13/2024
Last updated 01/12/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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