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JENNIFER DEFOREST
NPI 1548858939
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Athens, OH

Active since January 02, 2021
3 COVENTRY LN, ATHENS, OH 45701(740) 707-1691 Get Directions Write a Review

NPPES record last updated: January 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Deforest NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER DEFOREST (NPI 1548858939) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Athens, Ohio, licensed in Ohio (8701195) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1548858939
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameJENNIFER DEFOREST
Location Address3 COVENTRY LNAthens, OH 45701-3717
Mailing Address11447 Valley DrThe Plains, OH 45780-1428 · (740) 707-1691
Phone(740) 707-1691
Sole ProprietorYes
Enumeration DateJanuary 2, 2021
NPPES CertifiedJanuary 2, 2021
✔ NPI 1548858939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in OH · 8701195
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
3 COVENTRY LN, Athens, OH 45701
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Other Names 1

Former Name (1)Jennifer Grills

Other Identifiers 1

Medicaid0427093OH

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA BYRD
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3 COVENTRY LN
ATHENS, OH 45701
Athens County (740) 501-7534
MS. ERIN H COUNCILMAN
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3 COVENTRY LN
ATHENS, OH 45701
Athens County (740) 517-1224

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Deforest's NPI number?

The NPI number for Jennifer Deforest is 1548858939. It was assigned to this individual provider in the NPPES registry on January 2, 2021. The provider is also known as Jennifer Grills.

Where is Jennifer Deforest located?

Jennifer Deforest practices at 3 Coventry Ln, Athens, OH 45701. The listed phone number is (740) 707-1691.

What is Jennifer Deforest's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Jennifer Deforest was last updated on January 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.