Community Residences, Inc. in Chantilly - Intermediate Care Facility, Intellectual Disabilities
Community Residences, Inc. - NPI 1164506861
Community Residences, Inc. is a Intermediate Care Facility, Intellectual Disabilities in Chantilly, Virginia. Community Residences, Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Community Residences, Inc. is 1164506861. The last update date is 2018-01-09.
Community Residences, Inc.'s current location address is 14160 Newbrook Dr, Chantilly, Virginia. You can contact this provider via phone number 7038422333 and fax number 7038422311. The mailing address for Community Residences, Inc. is 14160 Newbrook Dr, Chantilly, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Residences, Inc. |
|---|---|
| Address | 14160 Newbrook Dr, Chantilly, Virginia |
| Phone Number | 7038422333 |
| Fax Number | 7038422311 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP ADMIN, |
|---|---|
| Authorized Official Name | Hurley Terry |
| Telephone Number | 7038422321 |
NPI Number Detail
| NPI Number | 1164506861 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2018-01-09 |
Provider Mailing Address Detail
| Address | 14160 Newbrook Dr |
|---|---|
| City | Chantilly |
| State | Virginia (VA) |
| Post Code | 201512297 |
| Phone Number | 7038422333 |
| Fax Number | 7038422311 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 5801003 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4960823 | VA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Community Residences, Inc. by the Centers for Medicare & Medicaid Services?
The Community Residences, Inc. has been assigned the NPI (National Provider Identifier) 1164506861. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Community Residences, Inc. is located?
The Community Residences, Inc. is situated at the following address: 14160 Newbrook Dr, Chantilly, VA, 201512297.
What is Community Residences, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Community Residences, Inc. is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy code that classifies this field of practice is 315P00000X.
When was the Community Residences, Inc.'s 1164506861 issued?
The Community Residences, Inc.'s 1164506861 was issued on 2006-10-25.
As of what date were the details related to Community Residences, Inc. most recently updated or revised?
The information pertaining to Community Residences, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2018-01-09.
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