National Provider Identifier Database

JILLS HOUSE INC
Respite Care, Intellectual and/or Developmental Disabilities

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.


Contact Information

JILL'S HOUSE INC
9011 LEESBURG PIKE
VIENNA, VA22182-1722
Phone: 703-639-5662
Fax:
Website:
Specialty Taxonomy Code
* Respite Care, Intellectual and/or Developmental Disabilities 385HR2060X
Respite Care, Physical Disabilities, Child 385HR2065X

* Indicates primary specialty

NPI Profile & details for JILL'S HOUSE INC

NPI Number 1205140100
Legal business name
LBN
JILL'S HOUSE INC
Authorized official MARY LEIDY - (CHIEF ADMINISTRATIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 08/03/2010
Last updated 08/03/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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