# TRIUNE IN-HOME CARE AGENCY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588186282
- **Authorized official:** MS. KRISTIN LENNA HILFIKER REGISTERED NURSE (ADMINISTRATOR/ OWNER)
- **Authorized official phone:** (503) 253-9041

## Contact information

- **Practice address:** 14516 E BURNSIDE ST, PORTLAND, OR 97233-2142
- **Practice address phone:** (503) 253-9041
- **Practice address fax:** (503) 254-2140
- **Mailing address:** 14516 E BURNSIDE ST, PORTLAND, OR 97233-2142
- **Mailing address phone:** (503) 253-9041
- **Mailing address fax:** (503) 254-2140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |
| 164W00000X | Licensed Practical Nurse | — | NULL | — |
| 164W00000X | Licensed Practical Nurse | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 07/13/2017
- **Last updated:** 07/13/2017