Community Residences, Inc.

LBN: Community Residences, Inc.
Community Residences, Inc. is an health care organization with primary practice located at 5563 16Th St N , Arlington VA 22205-2749. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Community Residences, Inc. can be contacted via phone (703) 842-2333, or through Hurley, Terry via phone (703) 842-2321.

Contact Information

Primary practice address
5563 16Th St N Arlington VA 22205-2749
Phone: (703) 842-2333
Fax: (703) 842-2311
Website:
Map and Directions
Authorized official contact:
Name: Hurley, Terry
Phone: (703) 842-2321

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 05801001 Virginia

Profile Details

NPI number 1578649836
LBN Legal business name Community Residences, Inc.
DBA Doing business as
Authorized official Hurley, Terry
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2006
Last updated Jan 9th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578649836 NPPES
Virginia MEDICAID 004967283

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