Organization Active NPI

Community Residences, Inc.

  • Case Management Agency
  • Glen Burnie, MD
National Provider Identifier
1215248570
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COMMUNITY RESIDENCES, INC.
Practice address
7477 Baltimore Annapolis Blvd
Suite 203
Glen Burnie, MD 21061-3504
Phone
(410) 760-2250
Fax
(410) 760-6670
NPI assigned
Jul 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Terence William Hurley
Title
V.P. Administration, Cfo
Phone
(703) 842-2321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X MD Primary

Addresses

Primary practice location

7477 Baltimore Annapolis Blvd
Suite 203
Glen Burnie, MD 21061-3504

Mailing address

14160 Newbrook Dr
Suite 100
Chantilly, VA 20151-2297
Phone (703) 842-2334

Other names 1

  • CRI AA TCM Other name

National Provider Directory

National Provider Directory
Tax ID family
Community Residences Inc24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Locations

7477 Baltimore Annapolis Blvd
Ste 203
Glen Burnie, MD 21061
Phone (410) 760-2250

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1215248570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14160 NEWBROOK DR",
            "address_2": "SUITE 100",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512297",
            "telephone_number": "703-842-2334",
            "fax_number": "703-842-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7477 BALTIMORE ANNAPOLIS BLVD",
            "address_2": "SUITE 203",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613504",
            "telephone_number": "410-760-2250",
            "fax_number": "410-760-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RESIDENCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "HURLEY",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "V.P. ADMINISTRATION, CFO",
        "authorized_official_telephone_number": "703-842-2321",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRI AA TCM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.