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Community Residences, Inc
Adult Care Home Facility in Chantilly, Virginia
NPI 1396820098

Community Residences, Inc is an Adult Care Home Facility based in Chantilly, VA and is specialized in Adult Care Home. Community Residences, Inc practices in Chantilly, VA. The NPI Number for Community Residences, Inc is 1396820098 and holds a License No. 05801001, 05801003, (Virginia).

The current practice location address for Community Residences, Inc is 14160 Newbrook Dr, Chantilly, VA and can be reached out via phone at 703-842-2333 and via fax at 703-842-2311.

Location: 14160 Newbrook Dr, Chantilly, VA, 20151-2297
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396820098
Provider Name
Community Residences, Inc
Credential
Provider Entity Type
Organization
Address
14160 Newbrook Dr, Chantilly, VA, 20151-2297
Phone Number
703-842-2333
Fax Number
703-842-2311
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004946138 05 VA
institution
Provider Business Practice Location Address Details
Address
14160 Newbrook Dr
City
Chantilly
State
Virginia
Zip
20151-2297
Phone Number
703-842-2333
Fax Number
703-842-2311
person
Provider Business Mailing Address Details
Address
14160 Newbrook Dr
City
Chantilly
State
Virginia
Zip
20151-2297
Phone Number
703-842-2333
Fax Number
703-842-2311
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
05801001, 05801003, (Virginia)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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