Community Care Coordination LLC · Case Manager/Care Coordinator

2193 Dragonfly Ln, Colfax, NC 27235-9841

Overview

Community Care Coordination LLC is a Case Manager/Care Coordinator (organization) practicing in Colfax, North Carolina. The National Provider Identifier (NPI) is #1184567562, which was assigned on April 10, 2026, and the registration record was last updated on April 10, 2026. The practitioner's main practice location is at 2193 Dragonfly Ln, Colfax, NC 27235-9841; the contact telephone number is 3362982168. The primary taxonomy of Community Care Coordination LLC is Case Manager/Care Coordinator (171M00000X). The authorized official for Community Care Coordination LLC is Letonya Shaw (Owner).

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Provider Information

NPI 1184567562
Entity Type Organization
Organization Name COMMUNITY CARE COORDINATION LLC
Provider Name COMMUNITY CARE COORDINATION LLC
Practice Address 2193 Dragonfly Ln
Colfax
NC 27235-9841
Practice Telephone 3362982168
Mailing Address 2193 Dragonfly Ln
Colfax
NC 27235-9841
Mailing Telephone 3362982168
Certification Date 2026-04-10
Enumeration Date 2026-04-10
Last Update Date 2026-04-10
Is Organization Subpart N

Authorized Official Information

Official Name LETONYA SHAW
Official Title OWNER
Telephone 3362982168

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y171M00000XCase Manager/Care Coordinator193400000X SINGLE SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 171M00000X
Taxonomy Case Manager/Care Coordinator
Classification Case Manager/Care Coordinator
Grouping Other Service Providers
Definition: A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

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Location Information

Street Address 2193 DRAGONFLY LN
City COLFAX
State NC
Zip Code 27235-9841
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Sarah Rivera Lopez 5568 Marblehead Dr, Colfax, NC 27235-9827Nurse Practitioner2025-11-12
Whitney Roberts Gansman 8861 Boylston Rd, Colfax, NC 27235-9735Physical Therapist2006-11-22
Heather R. Smith 8257 Ballard Rd, Colfax, NC 27235-9710Physical Therapist2020-04-27
Gina M Tucker 8700 Shady Hill Ct, Colfax, NC 27235-9434Mental Health Counselor2025-10-06

Providers in the same city

Provider NameAddressTaxonomyEnumeration Date
Surya Brown-Moffitt 1200 W Fairview St, Colfax, WA 99111-9552Physical Therapist2026-04-06
Dodi Lindsay 24825 Ben Taylor Rd, Colfax, CA 95713-9553School Registered Nurse2026-01-05
Jennifer Kemppinen 1281 Wildwood Ln, Colfax, CA 95713-9566Health & Wellness Coach2026-02-25

Providers in the state of NC

Provider NameAddressTaxonomyEnumeration Date
Meet Anilkumar Patel 2100 Stantonsburg Rd, Greenville, NC 27834-2818Student in an Organized Health Care Education/Training Program2026-04-11
Sarah Nu Chi Wright 5107 College Center Dr, Fayetteville, NC 28311-1463Physician Assistant2026-04-11
Maggie Phillips Medical Center Boulevard, Winston Salem, NC 27157-0001Student in an Organized Health Care Education/Training Program2026-04-11
Ariel Travis 127 W Hargett St Ste 301, Pmb 254, Raleigh, NC 27601Speech-Language Pathologist2026-04-11
Kainat Aslam 2100 Stantonsburg Rd, Greenville, NC 27834-2818Student in an Organized Health Care Education/Training Program2026-04-11
Madison Drass 530 Foster St Unit 111, Durham, NC 27701-2485Registered Nurse2026-04-11
Carolyn Marie Phillips 1000 Blythe Blvd, Charlotte, NC 28203-5812Emergency Registered Nurse2026-04-11
Michael Patrick Severance-Helms 2400 W Mallard Creek Church Rd Ste A, Charlotte, NC 28262-2325Physical Therapy Assistant2026-04-11
Akela Breona Jade Sheard 2100 Stantonsburg Rd, Greenville, NC 27834-2818Student in an Organized Health Care Education/Training Program2026-04-11
Andrew Fok 2100 Stantonsburg Rd, Greenville, NC 27834-2818Student in an Organized Health Care Education/Training Program2026-04-11
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.