Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jilly Healthcare Services, LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1770196339

Jilly Healthcare Services, LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fairfax, Virginia. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4145 Lenox Dr
Fairfax, VA 22032-1112
Phone: (202) 390-1582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1770196339
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Didi Kadji-Tedjeu — Owner · (202) 390-1582
Other names Jilly Healthcare Services, Llc
NPI enumeratedAugust 24, 2020
Last updated in NPPESAugust 24, 2020
Certification dateJuly 30, 2020
Mailing address12642 Travilah Rd, Potomac, MD 20854-1084

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