JEANS REST HOME
NPI 1942328695
Clinic/Center - Developmental Disabilities in Fayetteville, NC

Active since March 27, 2007
114 UNIVERSITY AVE, FAYETTEVILLE, NC 28301(910) 480-0020(910) 480-0020 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeans Rest Home NPPES

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

JEANS REST HOME (NPI 1942328695) is a healthcare organization registered as a developmental disabilities in Fayetteville, North Carolina and active in the NPI registry since March 2007. The organization lists Lula Mcdonald, Owner Admin, as its authorized official.

NPPES Registry Identity

NPI1942328695
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameJEANS REST HOME
Location Address114 UNIVERSITY AVEFayetteville, NC 28301-3440
Mailing Address114 University AveFayetteville, NC 28301-3440 · (910) 480-0020 · Fax (910) 480-0020
Fax(910) 480-0020
Organization SubpartNo
Authorized OfficialLula McdonaldOwner Admin · (910) 480-0020
Enumeration DateMarch 27, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1942328695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
License Licensed in NC · FCL026029
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
114 UNIVERSITY AVE, Fayetteville, NC 28301

Other Identifiers 1

Medicaid7802336NC

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 Jeans Rest Home's NPI number?

The NPI number for Jeans Rest Home is 1942328695. It was assigned to this organization in the NPPES registry on March 27, 2007.

Where is Jeans Rest Home located?

Jeans Rest Home is located at 114 University Ave, Fayetteville, NC 28301. The listed phone number is (910) 480-0020.

What is Jeans Rest Home's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Jeans Rest Home was last updated on August 22, 2020. 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.