Organization Active NPI

Jest Group Homes Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Raeford, NC
National Provider Identifier
1275808990
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
JEST GROUP HOMES INC
Practice address
4802 Aberdeen Rd
Raeford, NC 28376-7854
Phone
(910) 690-3371
Fax
(910) 944-0551
NPI assigned
Mar 13, 2012
Last updated
Mar 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Mr. Quenzell Thomas
Title
Owner
Phone
(910) 690-3371

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NU Primary

Addresses

Primary practice location

4802 Aberdeen Rd
Raeford, NC 28376-7854

Mailing address

4802 Aberdeen Rd
Raeford, NC 28376-7854
Phone (910) 690-3371

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1275808990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 ABERDEEN RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283767854",
            "telephone_number": "910-690-3371",
            "fax_number": "910-944-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 ABERDEEN RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283767854",
            "telephone_number": "910-690-3371",
            "fax_number": "910-944-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEST GROUP HOMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "QUENZELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-690-3371",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raeford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.