Provider Demographics
NPI:1730870155
Name:NESTNJOY, LLC
Entity type:Organization
Organization Name:NESTNJOY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FOSTER
Authorized Official - Middle Name:
Authorized Official - Last Name:OSEI BAAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-437-2423
Mailing Address - Street 1:5811 WEST COPLEN FARMS ROAD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85339
Mailing Address - Country:US
Mailing Address - Phone:678-437-2423
Mailing Address - Fax:
Practice Address - Street 1:5811 WEST COPLEN FARMS ROAD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85339
Practice Address - Country:US
Practice Address - Phone:678-437-2423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children