MEDICARE: COMMUNITY CARE, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0400X	Rehabilitation Clinic/Center
2	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1659052843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY CARE, PLLC

Provider Business Mailing Address
First Line	:	1327 FAIRMONT ST
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28216-5017
Country	:	US
Telephone Number	:	302-753-2946
Fax Number	:

Provider Business Practice Location Address
First Line	:	1327 FAIRMONT ST
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28216-5017
Country	:	US
Telephone Number	:	302-753-2946
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER, SPEECH PATHOLOGIST
Name	:	CHRISTINE VIRION COOK
Credential	:
Telephone Number	:	302-753-2946

Provider Enumeration Date	:	07/31/2023
Last Update Date	:	12/26/2025

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Directions to “COMMUNITY CARE, PLLC ” Practice Location

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