COMMUNITY RESIDENCES, INC. (NPI# 1871775049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871775049 |
| Entity Type | Organization |
| Organization Name | COMMUNITY RESIDENCES, INC. |
| Practice Address |
7811 Oak St Manassas VA 20111-2210 |
| Mailing Address |
14160 Newbrook Dr Chantilly VA 20151-2297 |
| Practice Telephone | 7038422333 |
| Practice Fax Number | 7038422311 |
| Mailing Telephone | 7038422333 |
| Mailing Fax Number | 7038422311 |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2018-01-09 |
| Authorized Official Name | TERRY HURLEY (VP OF ADM, CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7038422321 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 05801001 | VA | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558898288 | Community Residences, Inc. | Case Management | 600 Washington Ave Ste 100-d, Towson, MD 21204-3913 | 2017-05-12 |
| 1922415934 | Community Residences, Inc. | Intermediate Care Facility, Mentally Retarded | 9332 Burke Rd, Burke, VA 22015-3373 | 2014-07-22 |
| 1689927592 | Community Residences, Inc. | Intermediate Care Facility, Mentally Retarded | 8714 Parliament Dr, Springfield, VA 22151-1225 | 2012-10-17 |
| 1497044267 | Community Residences, Inc. | Intermediate Care Facility, Mentally Retarded | 22755 Sweet Andrea Drive, Cri - Brambleton Icf, Ashburn, VA 20148 | 2011-04-01 |
| 1215248570 | Community Residences, Inc. | Case Management | 7477 Baltimore Annapolis Blvd, Suite 203, Glen Burnie, MD 21061-3504 | 2010-07-01 |
| 1063735116 | Community Residences, Inc. | Intermediate Care Facility, Mentally Retarded | 4541 Snowflake Dr, Richmond, VA 23237-2518 | 2010-03-03 |
| 1104021443 | Community Residences, Inc. | Intermediate Care Facility, Mentally Retarded | 166 Spencer Hill Rd, Winsted, CT 06098-2215 | 2007-06-18 |
| 1548465065 | Community Residences, Inc. | Intermediate Care Facility, Mentally Retarded | 3 Erica Ln, Wolcott, CT 06716-1427 | 2007-06-15 |
| 1295930725 | Community Residences, Inc. | Intermediate Care Facility, Mentally Retarded | 52 Mohawk Rd, Bristol, CT 06010-9413 | 2007-06-15 |
| 1508061029 | Community Residences, Inc. | Intermediate Care Facility, Mentally Retarded | 350 Lydale Pl, Meriden, CT 06450-6131 | 2007-06-15 |
| Street Address |
7811 OAK ST |
| City | MANASSAS |
| State | VA |
| Zip Code | 20111-2210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811333685 | Kay Dental Care Associates PC | Dentist | 8393 Centreville Rd, Manassas, VA 20111 | 2013-05-20 |
| 1891080727 | Jatinder Kaler | Dentist | 8393 Centreville Road, Manassas, VA 20111 | 2011-06-20 |
| 1841511417 | Michelle Elaine Wade | Counselor | 9254 Kristy Dr, Manassas Park, VA 20111 | 2010-06-18 |
| 1467789123 | Dr. Stephanie M. Lee & Associates | Optometrist | 9405 Liberia Avenue, Manassas, VA 20111 | 2009-11-17 |
| 1457566903 | T James Batistas Dds Pllc | Dentist | 9110 Railroad Drive, Suite 201, Manassas Park, VA 20111 | 2007-05-10 |
| 1205058880 | Mp Dental Associates Dds PC | Dentist | 7806 Centreville Road, Manassas, VA 20111 | 2007-05-03 |
| 1255494027 | Joseph M. Arzadon, Md, Dds, PC | Dentist | 9110 Railroad Dr, Suite 100, Manassas Park, VA 20111 | 2006-12-19 |
| 1962415687 | Mea Young Lee | Optometrist | 9405 Liberia Ave, Manassas, VA 20111 | 2006-08-14 |
| 1194766519 | Tarie Gresham Todman | Pharmacist | 7900 Scully Ct, Manassas, VA 20111 | 2006-06-09 |
| 1053415729 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 7500 Centreville Rd, Manassas Park, VA 20111-1743 | 2006-09-12 |
| Find all providers in zip 20111 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164506861 | Community Residences, Inc. | Intermediate Care Facility, Mentally Retarded | 10144 Lake Jackson Dr, Manassas, VA 20111-2832 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598381758 | Mount Rogers Community Services | Intermediate Care Facility, Mentally Retarded | 56 Carroll House Ln, Hillsville, VA 24343-3648 | 2020-06-23 |
| 1871123729 | Mount Rogers Community Services | Intermediate Care Facility, Mentally Retarded | 795 Fairview Rd, Wytheville, VA 24382-4501 | 2020-01-20 |
| 1194379529 | Dignity Care Inc | Intermediate Care Facility, Mentally Retarded | 16654 Bolling Brook Ct, Woodbridge, VA 22191-4583 | 2019-07-24 |
| 1821657719 | Hampton-newport News Community Services Board | Intermediate Care Facility, Mentally Retarded | 1421 Aberdeen Rd, Hampton, VA 23666-4027 | 2019-06-13 |
| 1962069054 | Sunny Haven Residental Services | Intermediate Care Facility, Mentally Retarded | 114 Collinswood Dr, Staunton, VA 24401-1988 | 2019-05-23 |
| 1376042523 | Danville Pittsylvania Community Services | Intermediate Care Facility, Mentally Retarded | 505 Keen St, Danville, VA 24540-4657 | 2018-02-02 |
| 1588021596 | Future Alliance LLC | Intermediate Care Facility, Mentally Retarded | 6010 N Crestwood Ave, Suite C, Richmond, VA 23230-2200 | 2016-01-21 |
| 1780052217 | Danville-pittsylvania Community Services | Intermediate Care Facility, Mentally Retarded | 4769 Franklin Tpke, Danville, VA 24540-7807 | 2015-09-15 |
| 1922415934 | Community Residences, Inc. | Intermediate Care Facility, Mentally Retarded | 9332 Burke Rd, Burke, VA 22015-3373 | 2014-07-22 |
| 1891105607 | Horizon Behavioral Health | Intermediate Care Facility, Mentally Retarded | 101 Avoca Ln, Altavista, VA 24517-1154 | 2014-05-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.