Community Residences, Inc

LBN: Community Residences, Inc
Community Residences, Inc is an health care organization with primary practice located at 807 North Jackson Street Cri Jackson Street Icf, Arlington VA 22201. 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 William via phone (703) 842-2321.

Contact Information

Primary practice address
807 North Jackson Street Cri Jackson Street Icf Arlington VA 22201
Phone: (703) 842-2333
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hurley, Terry William
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 1972675908
LBN Legal business name Community Residences, Inc
DBA Doing business as
Authorized official Hurley, Terry William
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 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 1972675908 NPPES
Virginia MEDICAID 010144833

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