Community Residences, INC.
In Home Supportive Care in Chantilly, VA. Organization (NPI-2).
Details
- NPI
- 1669920955
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Residences, INC.
- Organization subpart
- No
- Enumeration date
- Sep 14, 2016
- Last updated
- Sep 14, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | 058-01-011 | VA | Yes |
Practice location
14160 Newbrook DrSuite 100
Chantilly, VA 20151-2297
Phone 703-842-2327 · Fax 703-842-2341
Mailing address
14160 Newbrook DrSuite 100
Chantilly, VA 20151-2297
Phone 703-842-2327 · Fax 703-842-2341
Authorized official
Mary Jayne Panek
Project Director
7038422327
Is something wrong?
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All 10 In Home Supportive Care Agency providers in Chantilly · All 1,347 providers in Chantilly
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