Organization Active NPI

Jay'S Place Residential Group Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Hanover, MD
National Provider Identifier
1629916135
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
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

Updated by the provider on Mar 24, 2026

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.