JAY'S PLACE RESIDENTIAL GROUP HOME – NPI #1629916135
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.

JAY'S PLACE RESIDENTIAL GROUP HOME is a residential treatment facility located in HANOVER, MD. NPPES recently assigned the NPI number 1629916135 to JAY'S PLACE RESIDENTIAL GROUP HOME on March 24, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JAY'S PLACE RESIDENTIAL GROUP HOME below.

NPI Profile for
JAY'S PLACE RESIDENTIAL GROUP HOME

NPI Number
1629916135
Enumeration Date

(about 2 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JAY'S PLACE RESIDENTIAL GROUP HOME
Primary location
7897 MINE RUN RD
HANOVER, MD 21076
Phone: (833) 857-5223 Fax:
Mailing address
12530 FAIRWOOD PKWY STE 102
BOWIE, MD 20720-6357
Phone: (833) 857-5223 Fax:
Organization Subpart
No
Authorized Official
LATOYA BEARD
EXECUTIVE DIRECTOR
Phone: (443) 883-5636
Updated
Certification Date
Mar 19, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.