Organization Active NPI

Jewish Foundation for Group Homes

  • Developmentally Disabled Services Day Training Agency
  • Fairfax, VA
National Provider Identifier
1669304325
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
JEWISH FOUNDATION FOR GROUP HOMES
Practice address
10505 Judicial Dr Ste 101
Fairfax, VA 22030-5157
Phone
(703) 865-6830
NPI assigned
May 29, 2026
Last updated
May 29, 2026By the provider in NPPES
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
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

10505 Judicial Dr Ste 101
Fairfax, VA 22030-5157

Mailing address

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

Other practice location 1

20700 Loudoun County Pkwy Ste 152
Ashburn, VA 20147-2930
Phone (703) 687-3692

Other identifiers 2

IdentifierTypeStateIssuer
3001513200MedicaidVA
0953112379MedicaidVA

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

20700 Loudoun County Pkwy
Ste 152
Ashburn, VA 20147
Phone (703) 687-3692

10505 Judicial Dr
Ste 101
Fairfax, VA 22030
Phone (703) 865-6830

NPI Registry JSON

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

{
    "created_epoch": "1780012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1669304325",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10505 JUDICIAL DR STE 101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305157",
            "telephone_number": "703-865-6830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20700 Loudoun County Pkwy Ste 152",
            "address_purpose": "LOCATION",
            "city": "Ashburn",
            "state": "VA",
            "postal_code": "201472930",
            "country_code": "US",
            "telephone_number": "703-687-3692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEWISH FOUNDATION FOR GROUP HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-29",
        "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": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001513200",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0953112379",
            "state": "VA"
        }
    ],
    "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 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.