Henriksen LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HENRIKSEN LLC

Doing business as

Comfort Keepers #753

Practice address

3623 NE John Olsen Ave
Hillsboro, OR 97124-5815

Phone

(503) 855-4415

NPI assigned

Jun 9, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sandra Henriksen

Title

President

Phone

(503) 956-6337

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Comfort Keepers #753 Doing business as

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1538898879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 NE JOHN OLSEN AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245815",
            "telephone_number": "503-855-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 NE JOHN OLSEN AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245815",
            "telephone_number": "503-855-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRIKSEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "HENRIKSEN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-956-6337"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15-2458",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aaronwarner@comfortkeepers.com",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3623 NE John Olsen Ave",
            "city": "Hillsboro",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971245815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Comfort Keepers #753",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabrielle A Hendel, DO
• Dayle Fern Henderson
• Shila Ann Henderson, MSW, LCSW
• Matthew Benjamin Hendrix, PHARMD
• Karla Hennebold, MD
• Iliana Beatriz Henriquez, LCSW
• Alaina Henry, MA
• Heather Hensley
• Kimberly Hensley, PA-C
• Phillip William Henson

• In Home Supportive Care Agency in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• In Home Supportive Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.