OrganizationActive
Community Residences, Inc
NPI 1396820098 · Adult Care Home Facility · Chantilly, VA
Provider details
- NPI number
- 1396820098
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Terry Hurley, Vp of Administration/Cfo(703) 842-2321
- License
- 05801001, 05801003, (VA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
14160 Newbrook Dr
Chantilly, VA 20151-2297
Phone: (703) 842-2333
Fax: (703) 842-2311
Approximate (ZIP-level) locationGet directions
Mailing address
14160 Newbrook Dr
Chantilly, VA 20151-2297
Registry dates
- Enumerated
- 2006-10-25
- 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.