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COMMUNITY RESIDENCES, INC.
NPI 1164506861
Intermediate Care Facility, Intellectual Disabilities in Manassas, VA

Active since October 25, 2006
10144 LAKE JACKSON DR, MANASSAS, VA 20111(703) 842-2333(703) 842-2311 Get Directions Write a Review

NPPES record last updated: January 9, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Community Residences, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY RESIDENCES, INC. (NPI 1164506861) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Manassas, Virginia and active in the NPI registry since October 2006. The organization lists Terry Hurley, Vp Admin, Cfo, as its authorized official.

NPPES Registry Identity

NPI1164506861
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameCOMMUNITY RESIDENCES, INC.
Location Address10144 LAKE JACKSON DRManassas, VA 20111-2832
Mailing Address14160 Newbrook DrChantilly, VA 20151-2297 · (703) 842-2333 · Fax (703) 842-2311
Phone(703) 842-2333
Fax(703) 842-2311
Organization SubpartNo
Authorized OfficialTerry HurleyVp Admin, Cfo · (703) 842-2321
Enumeration DateOctober 25, 2006
Last NPPES UpdateJanuary 9, 2018
✔ NPI 1164506861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in VA · 05801003
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
10144 LAKE JACKSON DR, Manassas, VA 20111
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Other Identifiers 1

Medicaid004960823VA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Residences, Inc.'s NPI number?

The NPI number for Community Residences, Inc. is 1164506861. It was assigned to this organization in the NPPES registry on October 25, 2006.

Where is Community Residences, Inc. located?

Community Residences, Inc. is located at 10144 Lake Jackson Dr, Manassas, VA 20111. The listed phone number is (703) 842-2333.

What is Community Residences, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Community Residences, Inc. was last updated on January 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.