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COMMUNITY RESIDENCES, INC
NPI 1972675908
Intermediate Care Facility, Intellectual Disabilities in Arlington, VA

Active since November 14, 2006
807 NORTH JACKSON STREET, CRI JACKSON STREET ICF, ARLINGTON, VA 22201(703) 842-2333 Get Directions Write a Review

NPPES record last updated: January 9, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Community Residences, Inc NPPES

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

COMMUNITY RESIDENCES, INC (NPI 1972675908) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Arlington, Virginia and active in the NPI registry since November 2006. The organization lists Terry William Hurley, Vp Of Administration/cfo, as its authorized official.

NPPES Registry Identity

NPI1972675908
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameCOMMUNITY RESIDENCES, INC
Location Address807 NORTH JACKSON STREET, CRI JACKSON STREET ICFArlington, VA 22201
Mailing Address14160 Newbrook DrChantilly, VA 20151-2297 · (703) 842-2333 · Fax (703) 842-2311
Phone(703) 842-2333
Organization SubpartNo
Authorized OfficialTerry William HurleyVp Of Administration/cfo · (703) 842-2321
Enumeration DateNovember 14, 2006
Last NPPES UpdateJanuary 9, 2018
✔ NPI 1972675908 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 · 05801001
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
807 NORTH JACKSON STREET, Arlington, VA 22201
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Other Identifiers 1

Medicaid010144833VA

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 1972675908. It was assigned to this organization in the NPPES registry on November 14, 2006.

Where is Community Residences, Inc located?

Community Residences, Inc is located at 807 North Jackson Street Cri Jackson Street Icf, Arlington, VA 22201. 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.