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JABEZ RESIDENTIAL INC
NPI 1629208699
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Kenly, NC

Active since July 23, 2009
212 TILGHMAN STREET, KENLY, NC 27542(919) 284-3723 Get Directions Write a Review

NPPES record last updated: July 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jabez Residential Inc NPPES

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

JABEZ RESIDENTIAL INC (NPI 1629208699) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Kenly, North Carolina and active in the NPI registry since July 2009. The organization lists Damien K Forsythe, Owner, as its authorized official.

NPPES Registry Identity

NPI1629208699
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameJABEZ RESIDENTIAL INC
Location Address212 TILGHMAN STREETKenly, NC 27542-1214
Mailing AddressPo Box 1214Kenly, NC 27542-1214 · (919) 284-3723
Phone(919) 284-3723
Organization SubpartNo
Authorized OfficialDamien K ForsytheOwner · (919) 284-3723
Enumeration DateJuly 23, 2009
✔ NPI 1629208699 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 NC · MHL051174
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
212 TILGHMAN STREET, Kenly, NC 27542
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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 Jabez Residential Inc's NPI number?

The NPI number for Jabez Residential Inc is 1629208699. It was assigned to this organization in the NPPES registry on July 23, 2009.

Where is Jabez Residential Inc located?

Jabez Residential Inc is located at 212 Tilghman Street, Kenly, NC 27542. The listed phone number is (919) 284-3723.

What is Jabez Residential Inc'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 Jabez Residential Inc was last updated on July 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.