NPIMap

Organization Active NPI

Jewish Social Service Agency

  • Community Based Hospice Care Agency
  • Fairfax, VA
National Provider Identifier
1629919170
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
JEWISH SOCIAL SERVICE AGENCY
Practice address
3025 Hamaker CT Ste 450
Fairfax, VA 22031-2237
Phone
(703) 204-9100
Fax
(703) 204-9590
NPI assigned
Apr 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Authorized official

Name
Jacquelyn Rice
Title
Credentialing Specialist
Phone
(757) 348-2964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

3025 Hamaker CT Ste 450
Fairfax, VA 22031-2237

Mailing address

3025 Hamaker CT Ste 450
Fairfax, VA 22031-2237

National Provider Directory

National Provider Directory
Tax ID family
Jewish Social Service Agency15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1775001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1629919170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 HAMAKER CT STE 450",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 HAMAKER CT STE 450",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312237",
            "telephone_number": "703-204-9100",
            "fax_number": "703-204-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH SOCIAL SERVICE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-01",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "757-348-2964"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.