Jill'S House Inc

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

JILL'S HOUSE INC

Practice address

9011 Leesburg Pike
Vienna, VA 22182-1722

Phone

(703) 639-5662

NPI assigned

Aug 3, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Mary Leidy

Title

Chief Administrative Officer

Phone

(703) 639-5667

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1205140100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9104",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221020104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9011 LEESBURG PIKE",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221821722",
            "telephone_number": "703-639-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL'S HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "LEIDY",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "703-639-5667",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaelin Jennison, RN, FNP-BC
• Wesley Jenq
• Senja Jenson
• Daun Jeong, L.AC
• Jesus Heart Home Health Care Agency, Inc.
• Lily Jo
• Micha Joffee, M.D.
• Wynston Johnson-Lyman, RBT
• Pearl Teresa Johnson-Vann, P.T.
• Alayjah Johnson

• Child Intellectual and/or Developmental Disabilities Respite Care in Vienna, VA
• Providers in Vienna, VA by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.