COMMUNITY RESIDENCES, INC. (NPI# 1649341611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649341611 |
| Entity Type | Organization |
| Organization Name | COMMUNITY RESIDENCES, INC. |
| Practice Address |
6625 Hulvey Ter Alexandria VA 22306-6603 |
| Mailing Address |
14160 Newbrook Dr Chantilly VA 20151-2297 |
| Practice Telephone | 7037468335 |
| Practice Fax Number | 7037468306 |
| Mailing Telephone | 7038422333 |
| Mailing Fax Number | 7038422311 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2018-01-09 |
| Authorized Official Name | TERRY HURLEY (VP ADMIN, CFO) |
| Authorized Official Telephone | 7038422321 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 058-01-019 | VA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 004946561 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558898288 | Community Residences, Inc. | Case Management | 600 Washington Ave Ste 100-d, Towson, MD 21204-3913 | 2017-05-12 |
| 1922415934 | Community Residences, Inc. | Intermediate Care Facility, Mentally Retarded | 9332 Burke Rd, Burke, VA 22015-3373 | 2014-07-22 |
| 1689927592 | Community Residences, Inc. | Intermediate Care Facility, Mentally Retarded | 8714 Parliament Dr, Springfield, VA 22151-1225 | 2012-10-17 |
| 1497044267 | Community Residences, Inc. | Intermediate Care Facility, Mentally Retarded | 22755 Sweet Andrea Drive, Cri - Brambleton Icf, Ashburn, VA 20148 | 2011-04-01 |
| 1215248570 | Community Residences, Inc. | Case Management | 7477 Baltimore Annapolis Blvd, Suite 203, Glen Burnie, MD 21061-3504 | 2010-07-01 |
| 1063735116 | Community Residences, Inc. | Intermediate Care Facility, Mentally Retarded | 4541 Snowflake Dr, Richmond, VA 23237-2518 | 2010-03-03 |
| 1871775049 | Community Residences, Inc. | Intermediate Care Facility, Mentally Retarded | 7811 Oak St, Manassas, VA 20111-2210 | 2007-11-29 |
| 1104021443 | Community Residences, Inc. | Intermediate Care Facility, Mentally Retarded | 166 Spencer Hill Rd, Winsted, CT 06098-2215 | 2007-06-18 |
| 1548465065 | Community Residences, Inc. | Intermediate Care Facility, Mentally Retarded | 3 Erica Ln, Wolcott, CT 06716-1427 | 2007-06-15 |
| 1295930725 | Community Residences, Inc. | Intermediate Care Facility, Mentally Retarded | 52 Mohawk Rd, Bristol, CT 06010-9413 | 2007-06-15 |
| Street Address |
6625 HULVEY TER |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22306-6603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003450412 | Felicia Aboagye | Registered Nurse | Gartlan Center, 8119 Holland Road, Alexandria, VA 22306 | 2019-10-30 |
| 1306490727 | Quality Care Services LLC | Home Health | 6969 Richmond Highway, Suite 203, Alexandria, VA 22306 | 2019-07-25 |
| 1902388325 | James Mompoint | Behavioral Analyst | 3400 State St Suite G750, Salem, OR 22306 | 2018-09-01 |
| 1821507062 | Jennifer Lewis | Physical Therapist | 6856 Richmond Highway, Alexandria, VA 22306 | 2017-09-20 |
| 1477094860 | Kwabena Bonsu Owusu-boateng | Family Medicine | 8109 Tis Well Drive, Suite 511, Alexandria, VA 22306 | 2017-03-17 |
| 1164881397 | Luke Maxwell Dillon | Family Medicine | Calle Padre Ugarte #3260, Otay, BAJA CALIFORNIA 22306 | 2016-02-16 |
| 1063892743 | Bridgitte Matthews | Physical Therapist | 6856 Richmond Hwy, Alexandria, VA 22306 | 2015-06-08 |
| 1114362076 | Costco Wholesale Corporation | Pharmacy | 7940 Richmond Hwy, Alexandria, VA 22306 | 2013-05-06 |
| 1689919847 | Kings Crossing Optometry, LLC | Optometrist | 6307-d Richmond Highway, Alexandria, VA 22306 | 2012-11-29 |
| 1730423856 | Patient First Richmond Medical Group Pllc | Family Medicine | 6311 Richmond Highway, Alexandria, VA 22306 | 2012-11-15 |
| Find all providers in zip 22306 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417352428 | We Care Residential Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 1404 5th St, Alexandria, LA 71301-7933 | 2014-11-03 |
| 1386861524 | Thrive Behavioral Network Iv, LLC | Community Based Residential Treatment Facility, Mental Illness | 620 9th Ave W, Alexandria, MN 56308-2204 | 2007-04-19 |
| 1457578692 | Thrive Behavioral Network Iv, LLC | Community Based Residential Treatment Facility, Mental Illness | 620 9th Ave West, Alexandria, MN 56308-2204 | 2007-04-19 |
| 1184172744 | Juanita Walls | Community Based Residential Treatment Facility, Mental Illness | 3600 Government St, Alexandria, LA 71302-3324 | 2016-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487901 | River City Residential Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 2106 Hungary Rd, Richmond, VA 23228-2208 | 2020-04-27 |
| 1376178079 | Scott's Rehabilitative House | Community Based Residential Treatment Facility, Mental Illness | 104 Country Club Rd, Franklin, VA 23851-2983 | 2020-03-03 |
| 1386298354 | Quality Care Counseling Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 18511 Rollingside Dr, South Chesterfield, VA 23834-1699 | 2019-07-29 |
| 1730690694 | Families United, LLC | Community Based Residential Treatment Facility, Mental Illness | 1801 Hayward Ave, Chesapeake, VA 23320-2231 | 2017-10-18 |
| 1427419035 | Powerhouse Unlimited | Community Based Residential Treatment Facility, Mental Illness | 418 N 25th St, Apt 260, Richmond, VA 23223-7564 | 2016-03-09 |
| 1700266277 | Jan's Residential Homes | Community Based Residential Treatment Facility, Mental Illness | 307 N High St, Blackstone, VA 23824-1421 | 2015-05-31 |
| 1225426083 | Divine Health Support LLC | Community Based Residential Treatment Facility, Mental Illness | 2050 Hanson Ln, Woodbridge, VA 22191-4545 | 2015-01-02 |
| 1063838126 | New Lifestyles, Inc | Community Based Residential Treatment Facility, Mental Illness | 230 W Boscawen St, Winchester, VA 22601-4118 | 2014-03-13 |
| 1053742049 | Pathways Youth Services LLC | Community Based Residential Treatment Facility, Mental Illness | 1010 Marions Trl, Halifax, VA 24558-3126 | 2013-12-02 |
| 1679905269 | Rest Haven LLC | Community Based Residential Treatment Facility, Mental Illness | 1005 Bland St, Norfolk, VA 23513-3386 | 2013-08-06 |
| Find all providers with the same taxonomy | ||||
| City | ALEXANDRIA |
| Zip Code | 22306 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.