Organization Active NPI

The Jaybird Learning Academy, Inc.

Doing business as The Jaybird Learning Academy

  • Adult Day Care Clinic/Center
  • Harker Heights, TX
National Provider Identifier
1043930530
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
THE JAYBIRD LEARNING ACADEMY, INC.
Doing business as
The Jaybird Learning Academy
Practice address
515 E Veterans Memorial Blvd Ste B
Harker Heights, TX 76548-1693
Phone
(561) 209-3565
Fax
(254) 294-3207
NPI assigned
Sep 2, 2022
Last updated
Dec 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Marcel Bowens Sr.
Title
Ceo
Phone
(561) 209-3565

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist 103TM1800X NU
Developmentally Disabled Services Day Training Agency 251C00000X NU
Adult Day Care Clinic/Center 261QA0600X NU Primary
Intellectual Disabilities Intermediate Care Facility 315P00000X NU
Day Training/Habilitation Specialist 373H00000X NU
Attendant Care Provider 3747A0650X NU
PACE Provider Organization 251T00000X NU

Addresses

Primary practice location

515 E Veterans Memorial Blvd Ste B
Harker Heights, TX 76548-1693

Mailing address

6403 Mustang Creek Rd
Killeen, TX 76549-6093
Phone (561) 209-3565

Other names 1

  • The Jaybird Learning Academy Doing business as

National Provider Directory

National Provider Directory

Locations

515 E Veterans Memorial Blvd
Ste B
Harker Heights, TX 76548
Phone (561) 209-3565

709 W Dean Ave
Killeen, TX 76541

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1043930530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6403 MUSTANG CREEK RD",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765496093",
            "telephone_number": "561-209-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E VETERANS MEMORIAL BLVD STE B",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481693",
            "telephone_number": "561-209-3565",
            "fax_number": "254-294-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JAYBIRD LEARNING ACADEMY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "BOWENS",
        "authorized_official_first_name": "MARCEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-209-3565",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Jaybird Learning Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harker Heights, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.