JEANS REST HOME
NPI 1942328695
Clinic/Center - Developmental Disabilities in Fayetteville, NC
- Organization
- Clinic/Center
- Developmental Disabilities
About JEANS REST HOME
This page provides the complete NPI Profile along with additional information for Jeans Rest Home, a provider established in Fayetteville, North Carolina operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1942328695 assigned on March 2007. The practitioner's primary taxonomy code is 261QD1600X with license number FCL026029 (NC). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Lula Mcdonald (Owner Admin)
- NPI
- 1942328695 Verify this NPI
- Provider Name
- JEANS REST HOME
- Entity Type
- Organization
- Location Address
- 114 UNIVERSITY AVE FAYETTEVILLE, NC 28301
- Location Phone
- (910) 480-0020
- Location Fax
- (910) 480-0020
- Mailing Address
- 114 UNIVERSITY AVE FAYETTEVILLE, NC 28301
- Mailing Phone
- (910) 480-0020
- Mailing Fax
- (910) 480-0020
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-27-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Developmental Disabilities
- Taxonomy Code
- 261QD1600X
- Type
- Ambulatory Health Care Facilities
- License No.
- FCL026029
- License State
- NC
- Taxonomy Description
- 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.).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7802336 | MEDICAID (05) | NC |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942328695, enumerated as an "organization" on March 27, 2007.
The provider is located at 114 UNIVERSITY AVE FAYETTEVILLE, NC 28301 and the phone number is (910) 480-0020.
Clinic/Center with taxonomy code 261QD1600X and a focus in Developmental Disabilities.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
