MEDICARE: JOEY'S QUEST, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QA0600X	Adult Day Care Clinic/Center
2	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
3	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1417581257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOEY'S QUEST, LLC

Provider Business Mailing Address
First Line	:	800 ATLANTIC CITY BLVD STE 5
Second Line	:
City	:	BAYVILLE
State	:	NJ
Zip	:	08721-3068
Country	:	US
Telephone Number	:	732-314-6191
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 ATLANTIC CITY BLVD
Second Line	:	SUITE 5
City	:	BAYVILLE
State	:	NJ
Zip	:	08721-3068
Country	:	US
Telephone Number	:	732-314-6191
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	KELLY DECHERT
Credential	:
Telephone Number	:	732-259-8819

Provider Enumeration Date	:	03/02/2020
Last Update Date	:	02/14/2024

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Directions to “JOEY'S QUEST, LLC ” Practice Location

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