Community Residences, Inc. in Chantilly - Intermediate Care Facility, Intellectual Disabilities
Community Residences, Inc. - NPI 1922184282
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 1922184282. 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 | PROJECT IM |
|---|---|
| Authorized Official Name | Panek Mary Jayne |
| Telephone Number | 7038422327 |
NPI Number Detail
| NPI Number | 1922184282 |
|---|---|
| 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 | 5801001 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10137284 | VA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Community Residences, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Community Residences, Inc. has been assigned the NPI (National Provider Identifier) 1922184282. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Community Residences, Inc.'s facilities are geographically located?
The facilities of Community Residences, Inc. are physically situated at the following location: 14160 Newbrook Dr, Chantilly, VA, 201512297.
What is Community Residences, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Community Residences, Inc. is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy classification code for this specialized field is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1922184282 to Community Residences, Inc.?
The Community Residences, Inc. received its 1922184282 assignment from the Centers for Medicare & Medicaid Services on 2006-10-30.
As of what date was the information regarding Community Residences, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Community Residences, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-01-09.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA