Organization
COMMUNITY RESIDENCES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY HURLEY (VP OF ADMINISTRATION/CFO)
(703) 842-2321
Entity
Organization
Contact information
Practice address
14160 NEWBROOK DR, CHANTILLY, VA 20151-2297
(703) 842-2333
(703) 842-2311
Mailing address
14160 NEWBROOK DR, CHANTILLY, VA 20151-2297
(703) 842-2333
(703) 842-2311
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
05801001, 05801003,
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004946138
—
VA
Enumeration date
10/25/2006
Last updated
01/09/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us