National Provider Identifier Database

JAYS PLACE RESIDENTIAL GROUP HOME
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.


Contact Information

JAY'S PLACE RESIDENTIAL GROUP HOME
7897 MINE RUN RD
HANOVER, MD21076
Phone: 833-857-5223
Fax:
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X

* Indicates primary specialty

NPI Profile & details for JAY'S PLACE RESIDENTIAL GROUP HOME

NPI Number 1629916135
Legal business name
LBN
JAY'S PLACE RESIDENTIAL GROUP HOME
Authorized official LATOYA BEARD - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/24/2026
Last updated 03/24/2026 - About 2 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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