OrganizationActive
Jason Care Home LLC
NPI 1598655474 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Portland, OR
Provider details
- NPI number
- 1598655474
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Samuel Kinyanjui, Director(978) 406-1540
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
- In Home Supportive Care Agency253Z00000X
Agencies
Practice location
9337 Se Raymond St
Portland, OR 97266-2747
Phone: (978) 406-1540
Approximate (ZIP-level) locationGet directions
Mailing address
9337 Se Raymond St
Portland, OR 97266-2747
Registry dates
- Enumerated
- 2025-07-03
- Last updated
- 2025-07-03
- Certified
- 2025-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.