Jay-Randolph Developmental Services, Inc.
NPI 1831143478ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Portland, IN
Intermediate Care Facility, Intellectual Disabilities in Portland, Indiana, registered in NPPES in May 2006. The authorized official on file is Anita Young, Executive Director.
Overview
| NPI | 1831143478 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 19, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | 2623I0005JN06 | IN |
| Intermediate Care Facility, Intellectual Disabilities | 315P00000X | 2623I0004JN07 | IN |
| Intermediate Care Facility, Intellectual Disabilities | 315P00000X | 2623B0006JN06 | IN |
| Intermediate Care Facility, Intellectual Disabilities | 315P00000X | 2623T0003JN07 | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|