OrganizationActive
Community Residences, Inc.
NPI 1669920955 · In Home Supportive Care Agency · Chantilly, VA
Provider details
- NPI number
- 1669920955
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Mary Jayne Panek, Project Director(703) 842-2327
- License
- 058-01-011 (VA)
Specialties & taxonomies
Agencies
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14160 Newbrook Dr
Suite 100
Chantilly, VA 20151-2297
Phone: (703) 842-2327
Fax: (703) 842-2341
Street-level locationGet directions
Mailing address
14160 Newbrook Dr
Chantilly, VA 20151-2297
Registry dates
- Enumerated
- 2016-09-14
- Last updated
- 2016-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.