Active NPI
Sams Social House LLC
- Respite Care
- Leesburg, VA
National Provider Identifier
1790617207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- Legal business name
- SAMS SOCIAL HOUSE LLC
- Practice address
- 13400 Stream Farm LN
Leesburg, VA 20176-5472 - Phone
- (703) 608-5801
- NPI assigned
- May 30, 2026
- 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
- Mari R. Jacobs
- Title
- Executive Director
- Phone
- (703) 608-5801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | Primary |
Addresses
Primary practice location
13400 Stream Farm LN
Leesburg, VA 20176-5472
Mailing address
20558 Norwich PL
Ashburn, VA 20147-2805
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780099200000",
"number": "1790617207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20558 NORWICH PL",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201472805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13400 STREAM FARM LN",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201765472",
"telephone_number": "703-608-5801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMS SOCIAL HOUSE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-30",
"last_updated": "2026-05-30",
"certification_date": "2026-05-30",
"status": "A",
"authorized_official_last_name": "JACOBS",
"authorized_official_first_name": "MARI",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "703-608-5801"
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.