Provider Demographics
NPI:1053620708
Name:JMB CAREGIVING SERVICES, INC.
Entity type:Organization
Organization Name:JMB CAREGIVING SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BEISELL
Authorized Official - Suffix:
Authorized Official - Credentials:CIA
Authorized Official - Phone:503-850-4569
Mailing Address - Street 1:10600 SE MCLOUGHLIN BLVD
Mailing Address - Street 2:SUITE 212
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97222-7428
Mailing Address - Country:US
Mailing Address - Phone:503-850-4569
Mailing Address - Fax:503-850-4562
Practice Address - Street 1:10600 SE MCLOUGHLIN BLVD
Practice Address - Street 2:SUITE 212
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97222-7428
Practice Address - Country:US
Practice Address - Phone:503-850-4569
Practice Address - Fax:503-850-4562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-29
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR15-2239253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR15-2239OtherDEPT HUMAN SVCS - HOME CARE REG & QUALITY IMPROVEMENT