Healthcare Provider Details

I. General information

NPI: 1003749870
Provider Name (Legal Business Name): JBEE PACIFIC HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 LIBERTY ST NE APT B30
SALEM OR
97301-3847
US

IV. Provider business mailing address

160 LIBERTY ST NE APT B30
SALEM OR
97301-3847
US

V. Phone/Fax

Practice location:
  • Phone: 503-884-2227
  • Fax:
Mailing address:
  • Phone: 503-884-2227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: BEATRICE YAMOAH
Title or Position: CO-ADMINISTRATOR
Credential:
Phone: 503-884-2227