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Aeternum Care LLC

Mental Illness Community Based Residential Treatment Facility in Hillsboro, OR · enumerated 2025 · authorized official Wilson Kisambira, Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1770392870

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Registry record

Entity type Organization (Type 2)
Legal business name Aeternum Care LLC
Practice address 613 Se 32nd Ave, Hillsboro, OR, 97123
Phone (458) 262-4514
Enumeration date Jan 3, 2025
Last updated in NPPES Jan 3, 2025

Taxonomy & classification

174200000X Meals Provider Other Service Providers Secondary
320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility Residential Treatment Facilities Secondary
320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities Primary
320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities Secondary
323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities Secondary

Authorized official

Name Wilson Kisambira
Title Director
Phone (781) 309-8976

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Aeternum Care LLC?
The NPI for Aeternum Care LLC is 1770392870, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Aeternum Care LLC?
NPPES lists Wilson Kisambira (Director) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-01-03.