Community Residences, Inc. in Chantilly - Intermediate Care Facility, Intellectual Disabilities
Community Residences, Inc. - NPI 1487730743
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 1487730743. 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 | 1487730743 |
|---|---|
| Provider Enumeration Date | 2006-10-30 |
| 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 |
|---|---|---|---|
| 4960866 | VA | -- |
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What is the unique 10-digit identification 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) 1487730743 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Community Residences, Inc. located?
The Community Residences, Inc. is located at 14160 Newbrook Dr, Chantilly, VA 201512297.
What is Community Residences, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Community Residences, Inc.'s area of specialization is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 315P00000X.
When did Community Residences, Inc. receive its 1487730743 assignment?
The Community Residences, Inc. was assigned its 1487730743 on 2006-10-30, which is the date when this unique identifier was issued to the organization.
As of what date were the Community Residences, Inc.'s details last updated?
The information pertaining to the Community Residences, Inc., including its address, specialty, and other details, was most recently updated on 2018-01-09.
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