OrganizationActive
Community Residences, Inc.
NPI 1063735116 · Intellectual Disabilities Intermediate Care Facility · Richmond, VA
Provider details
- NPI number
- 1063735116
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Terence Hurley, V.p., Cfo(703) 842-2321
- License
- 05801001 (VA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
4541 Snowflake Dr
Richmond, VA 23237-2518
Phone: (703) 842-2333
Fax: (703) 842-2341
Approximate (ZIP-level) locationGet directions
Mailing address
14160 Newbrook Dr
Chantilly, VA 20151-2297
Other names (DBA / former)
- Other name
- Cri Snowflake Icf
Registry dates
- Enumerated
- 2010-03-03
- Last updated
- 2018-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.