NPIMap

Organization Active NPI

Community Residences, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Ashburn, VA
National Provider Identifier
1497044267
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
COMMUNITY RESIDENCES, INC.
Practice address
22755 Sweet Andrea Drive
Cri - Brambleton Icf
Ashburn, VA 20148
Phone
(703) 842-2333
Fax
(703) 842-2341
NPI assigned
Apr 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X VA Primary

Addresses

Primary practice location

22755 Sweet Andrea Drive
Cri - Brambleton Icf
Ashburn, VA 20148

Mailing address

14160 Newbrook Dr
Chantilly, VA 20151-2297
Phone (703) 842-2333

Other names 1

  • Brambleton ICF 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

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1497044267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14160 NEWBROOK DR",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512297",
            "telephone_number": "703-842-2333",
            "fax_number": "703-842-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22755 SWEET ANDREA DRIVE",
            "address_2": "CRI - BRAMBLETON ICF",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "20148",
            "telephone_number": "703-842-2333",
            "fax_number": "703-842-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RESIDENCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "HURLEY",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_title_or_position": "V.P., CFO",
        "authorized_official_telephone_number": "703-842-2321"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brambleton ICF",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.