Organization Active NPI

Jennifer Foundation Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Springfield, VA
National Provider Identifier
1790332971
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
JENNIFER FOUNDATION INC
Practice address
8815 Victoria Rd
Springfield, VA 22151-1132
Phone
(301) 326-8780
NPI assigned
Aug 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Authorized official

Name
Lary Obi
Title
Director
Phone
(301) 326-8780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

8815 Victoria Rd
Springfield, VA 22151-1132

Mailing address

8815 Victoria Rd
Springfield, VA 22151-1132
Phone (301) 326-8780

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1790332971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8815 VICTORIA RD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221511132",
            "telephone_number": "301-326-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 VICTORIA RD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221511132",
            "telephone_number": "301-326-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "OBI",
        "authorized_official_first_name": "LARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-326-8780"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.