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JILLY HEALTHCARE SERVICES, LLC
NPI 1770196339
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fairfax, VA

Active since August 24, 2020
4145 LENOX DR, FAIRFAX, VA 22032(202) 390-1582 Get Directions Write a Review

NPPES record last updated: August 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jilly Healthcare Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JILLY HEALTHCARE SERVICES, LLC (NPI 1770196339) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Fairfax, Virginia and active in the NPI registry since August 2020. The organization lists Didi Kadji-tedjeu, Owner, as its authorized official.

NPPES Registry Identity

NPI1770196339
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameJILLY HEALTHCARE SERVICES, LLC
Location Address4145 LENOX DRFairfax, VA 22032-1112
Mailing Address12642 Travilah RdPotomac, MD 20854-1084 · (202) 390-1582
Phone(202) 390-1582
Organization SubpartNo
Authorized OfficialDidi Kadji-tedjeuOwner · (202) 390-1582
Enumeration DateAugust 24, 2020
NPPES CertifiedJuly 30, 2020
✔ NPI 1770196339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
4145 LENOX DR, Fairfax, VA 22032
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Other Names 1

Doing Business AsJilly Healthcare Services, Llc

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jilly Healthcare Services, LLC's NPI number?

The NPI number for Jilly Healthcare Services, LLC is 1770196339. It was assigned to this organization in the NPPES registry on August 24, 2020.

Where is Jilly Healthcare Services, LLC located?

Jilly Healthcare Services, LLC is located at 4145 Lenox Dr, Fairfax, VA 22032. The listed phone number is (202) 390-1582.

What is Jilly Healthcare Services, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Jilly Healthcare Services, LLC was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.