Organization Active NPI

Jewish Foundation for Group Homes

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Reston, VA
National Provider Identifier
1376611095
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
317-01-001 Issued in VA
Legal business name
JEWISH FOUNDATION FOR GROUP HOMES
Practice address
2511 Freetown Dr
Reston, VA 20191-2513
Phone
(703) 453-0445
Fax
(703) 453-0447
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Michele Lizear
Title
Director of Business Office
Phone
(240) 283-6013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 317-01-001 VA Primary

Addresses

Primary practice location

2511 Freetown Dr
Reston, VA 20191-2513

Mailing address

6101 Executive Blvd Ste 100
Rockville, MD 20852-3938
Phone (240) 283-6000

Other practice location 1

12143 Stirrup Rd
Reston, VA 20191-2103
Phone (703) 453-0408

Other practice location 2

3901 Lake Blvd
Annandale, VA 22003-2320
Phone (703) 280-2153

Other identifiers 3

IdentifierTypeStateIssuer
0165807162MedicaidVA
004948483MedicaidVA
0165807592MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Jewish Foundation for Group6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6010 Executive Blvd
Ste 800
Rockville, MD 20852

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1376611095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 EXECUTIVE BLVD STE 100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523938",
            "telephone_number": "240-283-6000",
            "fax_number": "240-715-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 FREETOWN DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201912513",
            "telephone_number": "703-453-0445",
            "fax_number": "703-453-0447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12143 Stirrup Rd",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201912103",
            "country_code": "US",
            "telephone_number": "703-453-0408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Annandale",
            "state": "VA",
            "postal_code": "220032320",
            "country_code": "US",
            "telephone_number": "703-280-2153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEWISH FOUNDATION FOR GROUP HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "LIZEAR",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OFFICE",
        "authorized_official_telephone_number": "240-283-6013"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "317-01-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0165807162",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004948483",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0165807592",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.