OrganizationActive
Jay'S Place Residential Group Home
NPI 1629916135 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Hanover, MD
Provider details
- NPI number
- 1629916135
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Latoya Beard, Executive Director(443) 883-5636
Specialties & taxonomies
Residential Treatment Facilities
Practice location
7897 Mine Run Rd
Hanover, MD 21076
Phone: (833) 857-5223
Approximate (ZIP-level) locationGet directions
Mailing address
12530 Fairwood Pkwy Ste 102
Bowie, MD 20720-6357
Registry dates
- Enumerated
- 2026-03-24
- Last updated
- 2026-03-24
- Certified
- 2026-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.