Community Residences, Inc.

LBN: Community Residences, Inc.
Community Residences, Inc. is an health care organization with primary practice located at 1612 N Mckinley Rd , Arlington VA 22205-2237. 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 Panek, Mary Jayne via phone (703) 842-2327.

Contact Information

Primary practice address
1612 N Mckinley Rd Arlington VA 22205-2237
Phone: (703) 842-2333
Fax: (703) 842-2311
Website:
Map and Directions
Authorized official contact:
Name: Panek, Mary Jayne
Phone: (703) 842-2327

Health care specialties

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

Profile Details

NPI number 1922184282
LBN Legal business name Community Residences, Inc.
DBA Doing business as
Authorized official Panek, Mary Jayne
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1922184282 NPPES
Virginia MEDICAID 010137284

Popular Providers