Active NPI
Jay'S Place Residential Group Home
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Hanover, MD
National Provider Identifier
1629916135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- JAY'S PLACE RESIDENTIAL GROUP HOME
- Practice address
- 7897 Mine Run Rd
Hanover, MD 21076 - Phone
- (833) 857-5223
- NPI assigned
- Mar 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latoya Beard, BEARD
- Title
- Executive Director
- Phone
- (443) 883-5636
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary |
Addresses
Primary practice location
7897 Mine Run Rd
Hanover, MD 21076
Mailing address
12530 Fairwood Pkwy Ste 102
Bowie, MD 20720-6357
Phone (833) 857-5223
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774310400000",
"number": "1629916135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12530 FAIRWOOD PKWY STE 102",
"city": "BOWIE",
"state": "MD",
"postal_code": "207206357",
"telephone_number": "833-857-5223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7897 MINE RUN RD",
"city": "HANOVER",
"state": "MD",
"postal_code": "21076",
"telephone_number": "833-857-5223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAY'S PLACE RESIDENTIAL GROUP HOME",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-24",
"last_updated": "2026-03-24",
"certification_date": "2026-03-19",
"status": "A",
"authorized_official_last_name": "BEARD",
"authorized_official_first_name": "LATOYA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "443-883-5636",
"authorized_official_credential": "BEARD"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hanover, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.