Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jag's Residential Services, LLC

Organization Custodial Care Facility · NPI 1093850620

Jag's Residential Services, LLC is a Custodial Care Facility in Zebulon, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1005 Laurel Leaf Rd
Zebulon, NC 27597
Phone: (919) 426-3752
Fax: (919) 404-1515
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X
Custodial Care Facility Taxonomy 311Z00000X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X · Licence MHL-092-639 (NC)

Record details

NPI number1093850620
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gwendolyn Johns — Owner / Director · (919) 426-3752
Other names Jag'S Developmental Disability Adult Care, Llc
NPI enumeratedFebruary 21, 2007
Last updated in NPPESSeptember 8, 2021
Certification dateSeptember 8, 2021
Mailing address1006 Laurel Leaf Rd, Zebulon, NC 27597

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