Active NPI
Jewish Foundation for Group Homes
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Reston, VA
National Provider Identifier
1376611095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 317-01-001
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0165807162 | Medicaid | VA | |
| 004948483 | Medicaid | VA | |
| 0165807592 | Medicaid | VA |
National Provider Directory
National Provider Directory- Tax ID family
- Jewish Foundation for Group
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
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- Fairfax, VA
- NPI 1669304325
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- Home Health Agency
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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.