Organization
COMMUNITY RESIDENCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY HURLEY (VP ADMIN, CFO)
(703) 842-2321
Entity
Organization
Contact information
Practice address
6625 HULVEY TER, ALEXANDRIA, VA 22306-6603
(703) 746-8335
(703) 746-8306
Mailing address
14160 NEWBROOK DR, CHANTILLY, VA 20151-2297
(703) 842-2333
(703) 842-2311
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
058-01-019
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004946561
—
VA
Enumeration date
11/13/2006
Last updated
01/09/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up